Provider Demographics
NPI:1649800764
Name:SABRINA MARIA ULRICH
Entity type:Organization
Organization Name:SABRINA MARIA ULRICH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:ULRICH
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:507-476-0495
Mailing Address - Street 1:238 W MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MN
Mailing Address - Zip Code:56258-1398
Mailing Address - Country:US
Mailing Address - Phone:507-476-0495
Mailing Address - Fax:507-401-3695
Practice Address - Street 1:238 W MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-1398
Practice Address - Country:US
Practice Address - Phone:507-476-0495
Practice Address - Fax:507-401-3695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty