Provider Demographics
NPI:1679692156
Name:MURRAY, SHARON LATRICIA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LATRICIA
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48045 HILLTOP DR E
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-5281
Mailing Address - Country:US
Mailing Address - Phone:734-459-1236
Mailing Address - Fax:734-459-1236
Practice Address - Street 1:7430 2ND AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2739
Practice Address - Country:US
Practice Address - Phone:313-456-6000
Practice Address - Fax:313-935-9311
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1041C0700X1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical