MEDICARE: KRISTY ANN SAUTER LSW

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	2944-S	NV

General Provider Information

NPI Number	:	1760799589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTY ANN SAUTER LSW

Provider Business Mailing Address
First Line	:	2152 JASPER BLUFF ST UNIT 105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5977
Country	:	US
Telephone Number	:	702-327-2829
Fax Number	:

Provider Business Practice Location Address
First Line	:	2152 JASPER BLUFF ST UNIT 105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5977
Country	:	US
Telephone Number	:	702-327-2829
Fax Number	:

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

Provider Enumeration Date	:	09/01/2010
Last Update Date	:	09/01/2010

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Directions to “ KRISTY ANN SAUTER LSW” Practice Location

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