Provider Demographics
NPI:1386321768
Name:DAURIA, SARAH NOEL
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:NOEL
Last Name:DAURIA
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 1:14250 BOREGO RD APT B202
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-2564
Mailing Address - Country:US
Mailing Address - Phone:760-979-7565
Mailing Address - Fax:
Practice Address - Street 1:14250 BOREGO RD APT B202
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-2564
Practice Address - Country:US
Practice Address - Phone:760-979-7565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical