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1689124562
SARA SOUTHERN
KANSAS CITY, MO
NPI
1689124562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AL 3814C)
Enumeration Date
2016-10-04
Last Update Date
2021-07-28
Business Address
SARA SOUTHERN LICSW
3801 BLUE PKWY
KANSAS CITY, MO 64130-2807
Phone number: 816-923-5800
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Mailing Address
SARA SOUTHERN LICSW
1316 SOMERVILLE RD SE STE 1
DECATUR, AL 35601-4309
Phone number: 256-260-7361
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