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General NPI Number Information
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NPI Number | 1942759402
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Entity Type | Individual
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Provider Name | SARAH DEAN ROY LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/26/2016
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 920 OLIVER RD
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City | MONROE
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State | LA
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Zip | 71201-5702
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Country | US
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Telephone | 318-807-6258
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Fax | 318-812-7347
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Provider Business Mailing Address
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Address Line | 130 DESIARD ST SUITE 355
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City | MONROE
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State | LA
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Zip | 71201-7319
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Country | US
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Telephone | 318-807-7875
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Fax | 318-812-6603
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 13994
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 13994
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License Number State | LA
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