MEDICARE: MERCEDES B SAURBAUGH 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	6801088733	MI

General Provider Information

NPI Number	:	1356465868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERCEDES B SAURBAUGH LMSW

Provider Business Mailing Address
First Line	:	7178 BUTTERNUT DR
Second Line	:
City	:	WEST OLIVE
State	:	MI
Zip	:	49460-9734
Country	:	US
Telephone Number	:	616-498-0958
Fax Number	:

Provider Business Practice Location Address
First Line	:	7178 BUTTERNUT DR
Second Line	:
City	:	WEST OLIVE
State	:	MI
Zip	:	49460-9734
Country	:	US
Telephone Number	:	616-498-0958
Fax Number	:	616-344-1034

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

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	08/12/2024

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