Healthcare Provider Details

I. General information

NPI: 1659432748
Provider Name (Legal Business Name): SHERRY ANN DEES LMSW, ACSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 02/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26650 EUREKA RD SUITE A
TAYLOR MI
48180-4835
US

IV. Provider business mailing address

6350 OAKHURST DR
YPSILANTI MI
48197-9474
US

V. Phone/Fax

Practice location:
  • Phone: 734-955-3550
  • Fax: 734-955-3512
Mailing address:
  • Phone: 734-482-2726
  • Fax: 734-217-7501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801059374
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: