Provider Demographics
NPI:1255503827
Name:HARMON, SHARLENE DENISE
Entity Type:Individual
Prefix:MS
First Name:SHARLENE
Middle Name:DENISE
Last Name:HARMON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:SHARLENE
Other - Middle Name:DENISE
Other - Last Name:HARMON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LLMSW
Mailing Address - Street 1:1424 E 11 MILE RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-2026
Mailing Address - Country:US
Mailing Address - Phone:248-548-4044
Mailing Address - Fax:248-548-9239
Practice Address - Street 1:1424 E 11 MILE RD
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-2026
Practice Address - Country:US
Practice Address - Phone:248-548-4044
Practice Address - Fax:248-548-9239
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-24
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010949441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical