Individual
MS. DEBRA SUE SACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
523 BAINBRIDGE DR APT 31, EAST LANSING, MI 48823-1979
(517) 993-6679
Mailing address
523 BAINBRIDGE DR APT 31, EAST LANSING, MI 48823-1979
(517) 993-6679
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6801086010
MI
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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