Healthcare Provider Details

I. General information

NPI: 1245832914
Provider Name (Legal Business Name): SARAH LYNN SKOWRONSKI LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH LYNN BOROWIAK

II. Dates (important events)

Enumeration Date: 11/09/2020
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W. FIRST STREET
GAYLORD MI
49735-1233
US

IV. Provider business mailing address

2405 DEEPWOODS DRIVE
GAYLORD MI
49735
US

V. Phone/Fax

Practice location:
  • Phone: 989-614-0082
  • Fax:
Mailing address:
  • Phone: 989-614-0082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801108373
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: