Basic Information
| Provider Information | |||||||||
| NPI: | 1770723157 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROHR | ||||||||
| FirstName: | SARA | ||||||||
| MiddleName: | D | ||||||||
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| Credential: | MSW, LICSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5 COMMERCE DR | ||||||||
| Address2: | |||||||||
| City: | SKOWHEGAN | ||||||||
| State: | ME | ||||||||
| PostalCode: | 049764823 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2074748311 | ||||||||
| FaxNumber: | 2074745148 | ||||||||
| Practice Location | |||||||||
| Address1: | 624 13TH ST S | ||||||||
| Address2: | |||||||||
| City: | VIRGINIA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 557923149 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2187492881 | ||||||||
| FaxNumber: | 2187493806 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/25/2009 | ||||||||
| LastUpdateDate: | 12/06/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | LC11841 | ME | N | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | 26485 | MN | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.