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NPI Code Detail

MEDICARE: MS. MARY ANN SANDS LSCSW

MEDICARE:  MS. MARY ANN SANDS  LSCSW
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
1101Y00000XCounselor1664KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000070928OTHERKSBLUECROSS/BLUE SHIELD OF

General Provider Information

NPI Number : 1801991328
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY ANN SANDS LSCSW
Provider Business Mailing Address
First Line : 4220 NW HUXMAN RD
Second Line :
City : SILVER LAKE
State : KS
Zip : 66539-9482
Country : US
Telephone Number : 785-582-5179
Fax Number :
Provider Business Practice Location Address
First Line : 4220 NW HUXMAN RD
Second Line :
City : SILVER LAKE
State : KS
Zip : 66539-9482
Country : US
Telephone Number : 785-582-5179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 07/08/2007

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Directions to “ MS. MARY ANN SANDS LSCSW” Practice Location

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