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Individual

KRISTIN SAGERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LISW

Contact information

Practice address
185 TIERRA ENCANTADA, CORRALES, NM 87048-6811
(505) 890-7686
(505) 890-9432
Mailing address
185 TIERRA ENCANTADA, CORRALES, NM 87048-6811
(505) 890-7686
(505) 890-9432

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3773
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201021327
PRESBYTERIAN
NM
01
349981000
MAGELLAN
NM
01
NM01JA75
BLUE CROSS BLUE SHIELD
NM
05
NM102268
NM
Enumeration date
07/29/2006
Last updated
10/30/2008
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