SearchOhio101YA0400X

Mack Sanders, LSW, LICDC - CS

NPI 1750709044 · on the registry since 2014

Practice

Address
400 Bowman St
Mansfield, OH 44903
Phone
(419) 525-3525
Fax
(419) 525-3538
Organisation at this address
Mansfield Umadaop Inc
Mansfield Umadaop, Inc.
Mansfield Urban Minority Alcoholism And Drug Abuse Outreach Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-04-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio