Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 6801079866 | MI |
NPI | 1003843400 |
---|---|
Provider Name | Ms. Sharon Bailey |
First Address | Rochester, MI 48307-1863 |
Second Address | Rochester, MI 48307-1863 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 08/07/2007 |