MEDICARE: MANDE LYNN FRANZEL LMSW

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
1	1041C0700X	Clinical Social Worker	6801081531	MI

General Provider Information

NPI Number	:	1275614158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANDE LYNN FRANZEL LMSW

Provider Business Mailing Address
First Line	:	1650 SHABBONA RD
Second Line	:
City	:	SNOVER
State	:	MI
Zip	:	48472-9752
Country	:	US
Telephone Number	:	810-672-9286
Fax Number	:

Provider Business Practice Location Address
First Line	:	190 N DELAWARE ST
Second Line	:
City	:	SANDUSKY
State	:	MI
Zip	:	48471-1009
Country	:	US
Telephone Number	:	180-648-0330
Fax Number	:	810-648-5107

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	07/08/2007

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