MEDICARE: JORGE SALDANA 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
1	104100000X	Social Worker	13673	KS

General Provider Information

NPI Number	:	1407605652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE SALDANA LMSW

Provider Business Mailing Address
First Line	:	945 CRABAPPLE CT # 32
Second Line	:
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-8842
Country	:	US
Telephone Number	:	224-201-6861
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 E LAUREL ST
Second Line	:
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-5538
Country	:	US
Telephone Number	:	224-201-6861
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2024
Last Update Date	:	07/05/2024

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Directions to “ JORGE SALDANA LMSW” Practice Location

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