MEDICARE: SABRINA FALLONE

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	6851118314	MI

General Provider Information

NPI Number	:	1851116487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA FALLONE

Provider Business Mailing Address
First Line	:	5505 CORPORATE DR
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48098-2614
Country	:	US
Telephone Number	:	248-858-1210
Fax Number	:

Provider Business Practice Location Address
First Line	:	46570 OAK POINTE DR
Second Line	:
City	:	MACOMB
State	:	MI
Zip	:	48042-5906
Country	:	US
Telephone Number	:	519-987-3538
Fax Number	:

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

Provider Enumeration Date	:	11/19/2024
Last Update Date	:	11/19/2024

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Directions to “ SABRINA FALLONE ” Practice Location

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