Healthcare Provider Details

I. General information

NPI: 1275968265
Provider Name (Legal Business Name): CAROLYN G SAUTTER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 09/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 CHAMPA ST
DENVER CO
80205-2529
US

IV. Provider business mailing address

529 WASHINGTON ST APT 306
DENVER CO
80203-3852
US

V. Phone/Fax

Practice location:
  • Phone: 303-312-9693
  • Fax: 303-296-4436
Mailing address:
  • Phone: 303-880-8147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: