Provider Demographics
NPI:1326218850
Name:SANDERS, MARIE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:
Last Name:SANDERS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 W 10TH ST
Mailing Address - Street 2:WISHARD HEALTH SERVICES
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2859
Mailing Address - Country:US
Mailing Address - Phone:317-544-3562
Mailing Address - Fax:317-541-3457
Practice Address - Street 1:3840 N SHERMAN DR
Practice Address - Street 2:FOREST MANOR HEALTH CARE
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-4462
Practice Address - Country:US
Practice Address - Phone:317-544-3562
Practice Address - Fax:317-541-3457
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator