Individual
MS. MARY JO SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LCSW
Contact information
Practice address
1651 CENTENNIAL BLVD, SPRINGFIELD, OR 97477-3363
(541) 762-4551
Mailing address
310 N 33RD ST, SPRINGFIELD, OR 97478-5838
(541) 746-7732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3721
OR
163WC0400X
Case Management Registered Nurse
000035076RN
OR
163WM0102X
Maternal Newborn Registered Nurse
00035076RN
OR
Other
Enumeration date
07/09/2008
Last updated
02/17/2016
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