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NPI Code Detail

MEDICARE: MS. SARAH SUSIE SCHOLEFIELD

MEDICARE:  MS. SARAH SUSIE SCHOLEFIELD
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 WorkerLCS16825CA

General Provider Information

NPI Number : 1225246556
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARAH SUSIE SCHOLEFIELD
Provider Business Mailing Address
First Line : 251 CANDLELIGHT DR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-1314
Country : US
Telephone Number : 707-526-5589
Fax Number :
Provider Business Practice Location Address
First Line : 251 CANDLELIGHT DR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-1314
Country : US
Telephone Number : 707-526-5589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 07/08/2007

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Directions to “ MS. SARAH SUSIE SCHOLEFIELD ” Practice Location

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