Individual
SANDRA LYNN O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
3847 PINE GROVE AVE, FORT GRATIOT, MI 48059-4265
(810) 985-4009
(810) 984-8111
Mailing address
6660 CHRISTINE LN, BURTCHVILLE, MI 48059-2120
(910) 385-3719
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802073823
MI
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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