Doctor Name: | MRS. SARAH M. MERSDORF-FOREMAN |
NPI Number: | 1194853762 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6031 |
Business Practice Address: | 333 W 15th St Liberal, KS - 679012455 |
Business Phone Number: | 6206248171 |
Business Fax Number: | 6206240114 |
Mailing Address: | Po Box 2945, LIBERAL |
State: | KS |
Postal Code: | 679052945 |
Phone Number: | 6206248171 |
Fax Number: | 6206240114 |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |