Basic Information
| Provider Information | |||||||||
| NPI: | 1033557558 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SANFORD | ||||||||
| FirstName: | APRIL | ||||||||
| MiddleName: | INEZ | ||||||||
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| Credential: | MA, LLMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2432 CROOKS RD | ||||||||
| Address2: | APT 38 | ||||||||
| City: | TROY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480845336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5175051005 | ||||||||
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| Practice Location | |||||||||
| Address1: | 79 W ALEXANDRINE ST | ||||||||
| Address2: | |||||||||
| City: | DETROIT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482012015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 1312620955 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2013 | ||||||||
| LastUpdateDate: | 06/06/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 6801092992 | MI | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.