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NPI Code Detail

MEDICARE: SARAH JANE GASIK

MEDICARE: SARAH JANE GASIK
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 Worker

General Provider Information

NPI Number : 1497484323
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH JANE GASIK
Provider Business Mailing Address
First Line : 1525 N 200 W
Second Line :
City : LOGAN
State : UT
Zip : 84341-2032
Country : US
Telephone Number : 435-752-8880
Fax Number :
Provider Business Practice Location Address
First Line : 1525 N 200 W
Second Line :
City : LOGAN
State : UT
Zip : 84341-2032
Country : US
Telephone Number : 435-752-8880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2022
Last Update Date : 06/07/2022

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Directions to “ SARAH JANE GASIK ” Practice Location

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