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Individual
MS. MARILYN DENISE SANDERS
Active
Individual
MS. MARILYN DENISE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, MACRO
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801059552
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0898005
BLUE CROSS BLUE SHIELD/BLUE CARE NETWORK
MI
01
—
0P15280
MEDICARE PART - B
MI
01
—
562276
VALUE OPTIONS
MI
01
—
59557
HEALTH PLAN OF MICHIGAN, INC.
MI
01
—
600538229
MAGELLAN BEHAVIORAL HEALTH SERVICES
MI
01
—
80-0-89-7195
BLUE CROSS BLUE SHIELD /BLUE CARE NETWORK
MI
Enumeration date
07/27/2006
Last updated
11/29/2011
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