Individual
SALLY ANN MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
3400 S WASHINGTON RD, SAGINAW, MI 48601-4958
(989) 755-1072
(989) 755-1401
Mailing address
3393 HACKETT RD, SAGINAW, MI 48603-9614
(989) 401-5585
(989) 401-5585
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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