Provider Demographics
NPI:1376162867
Name:SULZMANN, JOAN R (MSW)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:R
Last Name:SULZMANN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7249 JUBILEE LN
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-3391
Mailing Address - Country:US
Mailing Address - Phone:251-272-0244
Mailing Address - Fax:
Practice Address - Street 1:7249 JUBILEE LN
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-3391
Practice Address - Country:US
Practice Address - Phone:251-272-0244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1745C104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker