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General NPI Number Information
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NPI Number | 1841009792
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Entity Type | Individual
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Provider Name | SARA KRISTINE WOODWARD LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 9818 CHERRY VALLEY AVE SE
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City | CALEDONIA
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State | MI
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Zip | 49316-7658
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Country | US
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Telephone | 616-307-4221
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Fax |
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Provider Business Mailing Address
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Address Line | 7652 SOFIA DR SW
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City | BYRON CENTER
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State | MI
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Zip | 49315-7802
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Country | US
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Telephone | 616-307-4221
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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 | 6801093651
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License Number State | MI
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