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NPI Code Detail

MEDICARE: MS. SARAH LORRAINE DOBENS M.A.

MEDICARE: MS. SARAH LORRAINE DOBENS M.A.
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1477608149
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARAH LORRAINE DOBENS M.A.
Provider Business Mailing Address
First Line : 615 SHIPYARD BLVD
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-6431
Country : US
Telephone Number : 910-343-0145
Fax Number :
Provider Business Practice Location Address
First Line : 1806 S 15TH ST
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-6479
Country : US
Telephone Number : 910-772-2515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/21/2022

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