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NPI Code Detail

MEDICARE: MS. SARAH ROSE CRANE

MEDICARE: MS. SARAH ROSE CRANE
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 Worker6801086241MI

General Provider Information

NPI Number : 1295832905
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARAH ROSE CRANE
Provider Business Mailing Address
First Line : 5716 MICHIGAN AVE
Second Line :
City : DETROIT
State : MI
Zip : 48210-3039
Country : US
Telephone Number : 313-963-2266
Fax Number :
Provider Business Practice Location Address
First Line : 5716 MICHIGAN AVE
Second Line :
City : DETROIT
State : MI
Zip : 48210-3039
Country : US
Telephone Number : 313-963-2266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2006
Last Update Date : 12/09/2013

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