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General NPI Number Information
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NPI Number | 1952779142
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Entity Type | Individual
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Provider Name | SARAH ALLISON HALLWOOD LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/04/2015
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 337 MANSFIELD RD UNIT 1255
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City | STORRS
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State | CT
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Zip | 06269-3139
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Country | US
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Telephone | 860-486-4705
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Fax |
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Provider Business Mailing Address
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Address Line | 31 STERLING CITY RD
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City | LYME
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State | CT
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Zip | 06371-3306
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Country | US
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Telephone | 860-304-7138
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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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 | 125210
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 011524
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License Number State | CT
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