MEDICARE: JULIE A SARTOR

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1891558490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE A SARTOR

Provider Business Mailing Address
First Line	:	PO BOX 1874
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33836-1874
Country	:	US
Telephone Number	:	248-514-8354
Fax Number	:

Provider Business Practice Location Address
First Line	:	35718 GRANDVIEW CT APT 1010
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48335-2463
Country	:	US
Telephone Number	:	248-514-8354
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2024
Last Update Date	:	02/05/2024

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