Most Relevant Information
Provider Data
| NPI Number: | 1003296609 |
| Provider Name: | SARA NORTHRUP LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/09/2015 |
| Last Updated: | 06/09/2015 |
Provider Practice Location
1501 S POLK ST
AMARILLO
TX
791014228
Practice Location Phone/Fax
| Phone: | 8063495676 |
| Fax: | 8063371036 |
Provider Mailing Location
1501 S POLK ST
AMARILLO
TX
791014228
Provider Mailing Phone/Fax
| Phone: | 8063495676 |
| Fax: | 8063371036 |