Provider Demographics
NPI:1467085506
Name:BENDER, SAUNDRA ELIZABETH (LLMSW)
Entity Type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:ELIZABETH
Last Name:BENDER
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:SAUNDRA
Other - Middle Name:ELIZABETH
Other - Last Name:BRYANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLMSW
Mailing Address - Street 1:17040 KINGSBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-3720
Mailing Address - Country:US
Mailing Address - Phone:586-907-1257
Mailing Address - Fax:
Practice Address - Street 1:2 TOWNE SQ STE 275
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-3719
Practice Address - Country:US
Practice Address - Phone:586-907-1257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-18
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801098049104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker