Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | I.1901903 | OH |
NPI | 1003260613 |
---|---|
Provider Name | Sarah Deiger |
First Address | Lisbon, OH 44432-8500 |
Second Address | Lisbon, OH 44432-8500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2016 |
Last Update Date | 04/02/2021 |