Most Relevant Information
Provider Data
| NPI Number: | 1003220112 |
| Provider Name: | MARILYN P SANDERFER MSW, LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | S.0024621 |
Most Important Dates
| Enumeration Date: | 06/17/2014 |
| Last Updated: | 06/17/2014 |
Provider Practice Location
601 S EDWIN C MOSES BLVD
DAYTON
OH
454173424
Practice Location Phone/Fax
| Phone: | 9372244646 |
| Fax: | 9372241625 |
Provider Mailing Location
601 S EDWIN C MOSES BLVD
DAYTON
OH
454173424
Provider Mailing Phone/Fax
| Phone: | 9372244646 |
| Fax: | 9372241625 |