Witherell, Sarah Lietzow

Witherell, Sarah Lietzow is an individual health care provider with primary practice located at 2751 E Jefferson Ave , Detroit MI 48207-4180. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Witherell, Sarah Lietzow can be contacted via phone (313) 993-3434.

Contact Information

Primary practice address
2751 E Jefferson Ave Detroit MI 48207-4180
Phone: (313) 993-3434
Fax: (313) 993-3421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Michigan
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6301015705 Michigan

Profile Details

NPI number 1083921563
LBN Legal business name Witherell, Sarah Lietzow
Credentials PH.D., LLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2010
Last updated Mar 13th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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