Individual
SARA KATHERINE DEMOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 324-8326
(734) 258-4758
Mailing address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 324-8326
(734) 258-4758
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022765
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
562758461065
DRIVER'S LICENSE
MI
Enumeration date
02/10/2023
Last updated
05/11/2023
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