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Provider Information for 1891091005


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HARRY J SATARIANO LSCSW, BCD


Sex: Male

NPI: 1891091005
Last Updated: 2020-08-10
Certification Date: 2020-08-10

Details

NameValue
NPI1891091005
Enumeration Date2011-02-04
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 7909 W 82ND TER
OVERLAND PARK, KS 66204-3654
United States

Phone: 913-522-6334 | Fax:
 
Primary Practice Address 7909 W 82ND TER
OVERLAND PARK, KS 66204-3654
United States

Phone: 913-522-6334 | Fax:
 
Secondary Practice Address(es)

1601 W 4TH ST
COFFEYVILLE, KS 67337-3333
United States

Phone: 620-251-8180 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalKS0516