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NPI Code Detail

MEDICARE: SARA CATHERINE STENGER LICSW

MEDICARE: SARA CATHERINE STENGER LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1124301114
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA CATHERINE STENGER LICSW
Provider Business Mailing Address
First Line : 1370 MENDOTA HEIGHTS RD
Second Line :
City : MENDOTA HEIGHTS
State : MN
Zip : 55120-1281
Country : US
Telephone Number : 651-313-8080
Fax Number :
Provider Business Practice Location Address
First Line : 6939 PINE ARBOR DR S STE 100
Second Line :
City : COTTAGE GROVE
State : MN
Zip : 55016-4643
Country : US
Telephone Number : 651-313-8080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2011
Last Update Date : 11/06/2023

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Directions to “ SARA CATHERINE STENGER LICSW” Practice Location

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