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NPI Code Detail

MEDICARE: SARAH KAUTZ LCSW

MEDICARE: SARAH KAUTZ LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker149.017037IL
21041C0700XClinical Social WorkerCW018885PA
31041C0700XClinical Social Worker44SC05655300NJ

General Provider Information

NPI Number : 1285023408
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH KAUTZ LCSW
Provider Business Mailing Address
First Line : 108 FAIRWAY TERRACE
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-6314
Country : US
Telephone Number : 856-787-7150
Fax Number :
Provider Business Practice Location Address
First Line : 108 FAIRWAY TER
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-2321
Country : US
Telephone Number : 856-787-7150
Fax Number : 856-787-1521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2015
Last Update Date : 08/10/2017

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