Individual
SHARON DEMETRIA MCFOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2995 E GRAND BLVD, DETROIT, MI 48202-3133
(313) 758-0150
Mailing address
2995 E GRAND BLVD, DETROIT, MI 48202-3133
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802087674
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123456
—
MI
Enumeration date
12/05/2017
Last updated
12/05/2017
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