| Kimberly Sautner Lcsw, Llc | |
|
40 Carr Ave Suite C Keansburg NJ 07734-1058 | |
| (732) 670-7771 | |
| (732) 471-6360 |
| Full Name | Kimberly Sautner Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 40 Carr Ave, Keansburg, New Jersey |
| Authorized Official Name and Position | Kimberly Ann Sautner (OWNER) |
| Authorized Official Contact | 7326707771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Sautner Lcsw, Llc 40 Carr Ave Suite C Keansburg NJ 07734-1058 Ph: (732) 670-7771 | Kimberly Sautner Lcsw, Llc 40 Carr Ave Suite C Keansburg NJ 07734-1058 Ph: (732) 670-7771 |
| NPI Number | 1477839678 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477839678 | NPI | - | NPPES |
| 1306982376 | Other | NJ | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05349300 (New Jersey) | Primary |
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