Sandusky, Glenis Melaine

Sandusky, Glenis Melaine is an individual health care provider with primary practice located at 7151 Springboro Pike , Dayton OH 45449-3605. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Sandusky, Glenis Melaine can be contacted via phone (937) 268-6511.

Contact Information

Primary practice address
7151 Springboro Pike Dayton OH 45449-3605
Phone: (937) 268-6511
Fax: (937) 267-3901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1417997149
LBN Legal business name Sandusky, Glenis Melaine
Credentials MSW,CMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1417997149 NPPES
Tennessee Other CSW0000006608 MEDICAL SOCIAL WORKER

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