Individual
MRS. SARALYN A. ATIVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6769
(913) 684-6766
Mailing address
2912 S.14TH STREET, LEAVENWORTH, KS 66048
(913) 684-6769
(913) 684-6766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801071684
MI
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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