| Saundra L. Mortenson, Lmsw, Lcsw, Pllc | |
|
3130 S 11th St Ste 103 Niles MI 49120-4736 | |
| (219) 861-6156 | |
| Not Available |
| Full Name | Saundra L. Mortenson, Lmsw, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3130 S 11th St Ste 103, Niles, Michigan |
| Authorized Official Name and Position | Saundra L Mortenson (OWNER) |
| Authorized Official Contact | 2198616156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saundra L. Mortenson, Lmsw, Lcsw, Pllc 3130 S 11th St Ste 103 Niles MI 49120-4736 Ph: (219) 861-6156 | Saundra L. Mortenson, Lmsw, Lcsw, Pllc 3130 S 11th St Ste 103 Niles MI 49120-4736 Ph: (219) 861-6156 |
| NPI Number | 1023780277 |
|---|---|
| Provider Enumeration Date | 10/05/2021 |
| Last Update Date | 11/12/2021 |
| Certification Date | 11/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023780277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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