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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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