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NPI Code Detail

MEDICARE: SARA E YANT LCSW

MEDICARE: SARA E YANT LCSW
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 WorkerIL

General Provider Information

NPI Number : 1578752465
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA E YANT LCSW
Provider Business Mailing Address
First Line : 723 N LOGAN AVE
Second Line :
City : DANVILLE
State : IL
Zip : 61832-4384
Country : US
Telephone Number : 217-431-6000
Fax Number : 217-446-0242
Provider Business Practice Location Address
First Line : 723 N LOGAN AVE
Second Line :
City : DANVILLE
State : IL
Zip : 61832-4384
Country : US
Telephone Number : 217-431-6000
Fax Number : 217-446-0242
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2007
Last Update Date : 10/17/2007

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