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Individual

AVRAHAM SHARFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
7550 HOHMAN AVE, STE 1200A, MUNSTER, IN 46321-1060
(616) 532-8000
(616) 532-7230
Mailing address
PO BOX 2007, GRAND RAPIDS, MI 49501-2007
(616) 532-8000
(616) 532-7230

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
200405508A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100165290
IN
01
90000854
BCBSIL
IL
Enumeration date
09/19/2005
Last updated
07/25/2011
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