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NPI Code Detail

MEDICARE: SARAH ELIZABETH BALL LICSW

MEDICARE: SARAH ELIZABETH BALL 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
1104100000XSocial Worker3493GAL
2101YS0200XSchool Counselor9445TN
31041C0700XClinical Social Worker3975CAL

General Provider Information

NPI Number : 1194073924
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ELIZABETH BALL LICSW
Provider Business Mailing Address
First Line : 3 OFFICE PARK CIR STE 220
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2535
Country : US
Telephone Number : 205-994-4683
Fax Number :
Provider Business Practice Location Address
First Line : 3 OFFICE PARK CIR STE 220
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2535
Country : US
Telephone Number : 205-994-4683
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2012
Last Update Date : 08/13/2020

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Directions to “ SARAH ELIZABETH BALL LICSW” Practice Location

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