Most Relevant Information
Provider Data
| NPI Number: | 1003285610 |
| Provider Name: | SARA DOCTOR LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 12275 |
Most Important Dates
| Enumeration Date: | 09/24/2015 |
| Last Updated: | 09/24/2015 |
Provider Practice Location
60 LOUIS PRIMA DR
COVINGTON
LA
704335903
Practice Location Phone/Fax
| Phone: | 9853275427 |
| Fax: |
Provider Mailing Location
60 LOUIS PRIMA DR
COVINGTON
LA
704335903
Provider Mailing Phone/Fax
| Phone: | 9853275427 |
| Fax: |