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NPI Code Detail

MEDICARE: PROF. SHARON ANDERSON SUMLER LMSW

MEDICARE:  PROF. SHARON ANDERSON SUMLER  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801085876MI

General Provider Information

NPI Number : 1346340965
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. SHARON ANDERSON SUMLER LMSW
Provider Business Mailing Address
First Line : PO BOX 2051
Second Line :
City : ROYAL OAK
State : MI
Zip : 48068-2051
Country : US
Telephone Number : 248-219-2920
Fax Number :
Provider Business Practice Location Address
First Line : 2222 W GRAND RIVER AVE STE A
Second Line :
City : OKEMOS
State : MI
Zip : 48864-1604
Country : US
Telephone Number : 313-246-0673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2006
Last Update Date : 06/14/2023

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Directions to “ PROF. SHARON ANDERSON SUMLER LMSW” Practice Location

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