Provider Demographics
NPI:1033557558
Name:SANFORD, APRIL INEZ (MA, LLMSW)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:INEZ
Last Name:SANFORD
Suffix:
Gender:F
Credentials:MA, LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2432 CROOKS RD
Mailing Address - Street 2:APT 38
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-5336
Mailing Address - Country:US
Mailing Address - Phone:517-505-1005
Mailing Address - Fax:
Practice Address - Street 1:79 W ALEXANDRINE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2015
Practice Address - Country:US
Practice Address - Phone:131-262-0955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801092992104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker