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NPI Code Detail

MEDICARE: MS. SARA ELLEN WRIGHT LCSW

MEDICARE:  MS. SARA ELLEN WRIGHT  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
1101YM0800XMental Health Counselor0405ME

General Provider Information

NPI Number : 1962561878
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARA ELLEN WRIGHT LCSW
Provider Business Mailing Address
First Line : PO BOX 531
Second Line :
City : WOOLWICH
State : ME
Zip : 04579-0531
Country : US
Telephone Number : 207-771-0288
Fax Number :
Provider Business Practice Location Address
First Line : 57 EXCHANGE ST
Second Line : SUITE 402
City : PORTLAND
State : ME
Zip : 04101-5000
Country : US
Telephone Number : 207-771-0288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 07/08/2007

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Directions to “ MS. SARA ELLEN WRIGHT LCSW” Practice Location

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