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Individual

MRS. KATHLEEN MARY SANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW C

Contact information

Practice address
5560 STERRETT PLACE, STE 201, COLUMBIA, MD 21044
(410) 995-5555
(410) 995-5556
Mailing address
2016 FRIZZELLBURY RD, WESTMINSTER, MD 21158
(410) 848-8549

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
07399
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015113
VALUE OPTIONS
01
182178
MANAGED HEALTH NETWORK
01
226159
KAISER PERMANENTE
01
268919
MD IPA ALLIANCE
MD
01
4619006
AETNA US HEALTHCARE
01
52752905
CAREFIRST BCBS
MD
01
9096617
PRIVATE HEALTHCARE SYSTEM
01
H1240001
CAREFIRST BCBS
MD
01
PVPB92545
AMERICAN PSYCH SYSTEMS
Enumeration date
02/21/2007
Last updated
07/08/2007
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