Sanders, M Fay

Sanders, M Fay is an individual health care provider with primary practice located at 888 Thackeray Trl Ste 105 , Oconomowoc WI 53066-4342. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Sanders, M Fay can be contacted via phone (262) 542-3255.

Contact Information

Primary practice address
888 Thackeray Trl Ste 105 Oconomowoc WI 53066-4342
Phone: (262) 542-3255
Fax: (262) 567-5451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCSW Wisconsin

Profile Details

NPI number 1013029560
LBN Legal business name Sanders, M Fay
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013029560 NPPES
Wisconsin MEDICAID 392 69600

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