Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 6801102239 | MI |
NPI | 1003387341 |
---|---|
Provider Name | Mrs. Sarah Lynn Kramer |
First Address | Grant Township, MI 48032-3714 |
Second Address | Port Huron, MI 48060-5480 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2018 |
Last Update Date | 16/12/2018 |