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General NPI Number Information
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NPI Number | 1629878780
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Entity Type | Individual
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Provider Name | SARA CYR LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 931 BANK ST
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City | NEW LONDON
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State | CT
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Zip | 06320-2702
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Country | US
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Telephone | 860-447-2233
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Fax |
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Provider Business Mailing Address
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Address Line | 15 GEORGE DR
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City | OLD SAYBROOK
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State | CT
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Zip | 06475-2636
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Country | US
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Telephone | 860-805-9267
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 005624
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License Number State | CT
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