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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MACKENZIE MAE FADORSEN

Active

MACKENZIE MAE FADORSEN is a Case Manager healthcare provider located in RAVENNA, Ohio. NPI 1154101301 is currently active in the NPPES registry. Verify at CMS.

Case Manager · RAVENNA, OH

Registration Details

NPI Number
1154101301
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2023 (2.8798579266142 yrs)
Last Updated
Oct 4, 2023

Practice Information

Address
3920 LOVERS LN
RAVENNA, OH, 442664200
Browse OH providers · Browse ZIP 44266
Phone
3306731347
Fax
3306783677
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in RAVENNA, OH

Name Credential NPI
DAVID W. KUMP BA 1619197233
JENNIFER A SCHUMM BA 1902027899
MARY E SNYDER LSW 1790906014
JESSE E MILLER III BASW 1629290424
CHRISTINA A. COWSERT B.A. 1689896607
TRACI A GIBBONS BA 1407078322
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.