MEDICARE: SHARON STERLING LCSW

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	1041C0700X	Clinical Social Worker	LCSW10064	AZ

General Provider Information

NPI Number	:	1417987629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON STERLING LCSW

Provider Business Mailing Address
First Line	:	1467 W CALLE PUEBLO
Second Line	:
City	:	GREEN VALLEY
State	:	AZ
Zip	:	85622-3217
Country	:	US
Telephone Number	:	520-260-8316
Fax Number	:	520-625-1598

Provider Business Practice Location Address
First Line	:	780 S PARK CENTRE AVE
Second Line	:
City	:	GREEN VALLEY
State	:	AZ
Zip	:	85614-5127
Country	:	US
Telephone Number	:	520-625-2273
Fax Number	:	520-625-1598

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	08/28/2015

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