MEDICARE: MS. SHARON JEAN ABBOTT

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	104100000X	Social Worker	LP4069	MN

General Provider Information

NPI Number	:	1437356250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON JEAN ABBOTT

Provider Business Mailing Address
First Line	:	211 3RD ST NW
Second Line	:
City	:	FARIBAULT
State	:	MN
Zip	:	55021-5145
Country	:	US
Telephone Number	:	507-334-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 3RD ST NW
Second Line	:
City	:	FARIBAULT
State	:	MN
Zip	:	55021-5145
Country	:	US
Telephone Number	:	507-334-1500
Fax Number	:

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

Provider Enumeration Date	:	06/27/2007
Last Update Date	:	03/15/2026

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