Most Relevant Information
Provider Data
| NPI Number: | 1003685645 |
| Provider Name: | KRISTINA SARKISOVA LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 110772 |
Most Important Dates
| Enumeration Date: | 12/22/2023 |
| Last Updated: | 12/22/2023 |
Provider Practice Location
1704 W KOENIG LN
AUSTIN
TX
787561207
Practice Location Phone/Fax
| Phone: | 5128146118 |
| Fax: |
Provider Mailing Location
1704 W KOENIG LN
AUSTIN
TX
787561207
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |