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NPI Code Detail

MEDICARE: SARA A PAVLICK LMSW

MEDICARE: SARA A PAVLICK LMSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1306842976
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA A PAVLICK LMSW
Provider Business Mailing Address
First Line : 7701 E KELLOGG DR
Second Line : SUITE 300
City : WICHITA
State : KS
Zip : 67207-1706
Country : US
Telephone Number : 316-660-9600
Fax Number : 316-660-9660
Provider Business Practice Location Address
First Line : 7701 E KELLOGG DR
Second Line : SUITE 300
City : WICHITA
State : KS
Zip : 67207-1706
Country : US
Telephone Number : 316-660-9600
Fax Number : 316-660-9660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 07/11/2007

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Directions to “ SARA A PAVLICK LMSW” Practice Location

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