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NPI Code Detail

MEDICARE: LYNDZI MARIE SAKOWSKI LLMSW

MEDICARE: LYNDZI MARIE SAKOWSKI LLMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2104100000XSocial Worker

General Provider Information

NPI Number : 1164915898
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDZI MARIE SAKOWSKI LLMSW
Provider Business Mailing Address
First Line : 3665 BAY RD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-2445
Country : US
Telephone Number : 989-799-6542
Fax Number :
Provider Business Practice Location Address
First Line : 3665 BAY RD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-2445
Country : US
Telephone Number : 989-799-6542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2018
Last Update Date : 12/06/2019

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