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NPI Code Detail

MEDICARE: SARA DARRIEULAT LICSW

MEDICARE: SARA DARRIEULAT 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 Worker

General Provider Information

NPI Number : 1952537961
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA DARRIEULAT LICSW
Provider Business Mailing Address
First Line : 50 MAPLE ST
Second Line :
City : STONEHAM
State : MA
Zip : 02180-3145
Country : US
Telephone Number : 978-828-6613
Fax Number :
Provider Business Practice Location Address
First Line : 3 BLACKBURN CTR
Second Line :
City : GLOUCESTER
State : MA
Zip : 01930-2268
Country : US
Telephone Number : 978-828-6613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2009
Last Update Date : 09/13/2022

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Directions to “ SARA DARRIEULAT LICSW” Practice Location

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