Provider Demographics
NPI:1932779766
Name:SNOW, SARAH O'BRIEN
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:O'BRIEN
Last Name:SNOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 GIRARD AVE S UNIT 417
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-5167
Mailing Address - Country:US
Mailing Address - Phone:952-451-5472
Mailing Address - Fax:
Practice Address - Street 1:2703 GIRARD AVE S UNIT 417
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-5167
Practice Address - Country:US
Practice Address - Phone:952-451-5472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Single Specialty