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NPI Code Detail

MEDICARE: SARA SULKOWSKI LMSW

MEDICARE: SARA SULKOWSKI 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
1247200000XOther Technician
21041C0700XClinical Social Worker6801116624

General Provider Information

NPI Number : 1194255034
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA SULKOWSKI LMSW
Provider Business Mailing Address
First Line : 32100 TELEGRAPH RD
Second Line :
City : BINGHAM FARMS
State : MI
Zip : 48025-2452
Country : US
Telephone Number : 248-712-4266
Fax Number :
Provider Business Practice Location Address
First Line : 19992 KELLY RD
Second Line :
City : HARPER WOODS
State : MI
Zip : 48225-1919
Country : US
Telephone Number : 586-596-2481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2017
Last Update Date : 08/22/2023

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