Individual provider · NPI-1

Sarah Ellison Boro, LCSW124424

Social Worker, Clinical · San Carlos, CA

NPI number1033844527
StatusActive
Last updated in NPPESAug 14, 2024

Details

NPI
1033844527
Entity type
Individual (NPI-1)
Name
Sarah Ellison Boro
Credential
LCSW124424
Sex
Female
Sole proprietor
No
Enumeration date
Jul 19, 2022
Certification date
Aug 14, 2024
Last updated
Aug 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical106816CAYes

Practice location

1033 Laurel St
San Carlos, CA 94070-3918

Phone 650-339-9104

Mailing address

1033 Laurel St
San Carlos, CA 94070-3918

Phone 650-339-9104

Other practice locations

2020 Mezes Ave
Belmont, CA 94002-1745

Phone 650-339-9104

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