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Sophia Anderson
NPI 1992183388 · on the registry since 2015 · sole proprietor
Practice
- Address
- 22828 Gaukler St
22828 Gaukler Street
Saint Clair Shores, MI 48080 - Phone
- (586) 944-0020
Registry record
- Primary taxonomy
- 261QA0600X
261QA0600X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-05-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan