MEDICARE: MRS. SHARON LATRICIA MURRAY 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
1	1041C0700X	Clinical Social Worker	1041C0700X	MI

General Provider Information

NPI Number	:	1679692156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARON LATRICIA MURRAY LMSW

Provider Business Mailing Address
First Line	:	48045 HILLTOP DR E
Second Line	:
City	:	PLYMOUTH
State	:	MI
Zip	:	48170-5281
Country	:	US
Telephone Number	:	734-459-1236
Fax Number	:	734-459-1236

Provider Business Practice Location Address
First Line	:	7430 2ND AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-2739
Country	:	US
Telephone Number	:	313-456-6000
Fax Number	:	313-935-9311

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	04/17/2014

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