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Organization
SALLIE PARKER LMSW, PLLC
Active
Organization
SALLIE PARKER LMSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALLIE KAY PARKER LMSW (OWNER)
(734) 476-1973
Entity
Organization
Contact information
Practice address
2035 HOGBACK RD, SUITE 207, ANN ARBOR, MI 48105-9666
(734) 476-1973
Mailing address
3106 FAWNMEADOW CT, ANN ARBOR, MI 48105-9666
(734) 476-1973
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6801058484
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821210238
NPI 1
MI
05
—
64097177
—
MI
Enumeration date
08/16/2018
Last updated
08/16/2018
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