Most Relevant Information
Provider Data
| NPI Number: | 1003339821 |
| Provider Name: | SHERRODD EUGENE RISON LLBSW, QMHP |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 4450186 |
Most Important Dates
| Enumeration Date: | 07/24/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
420 W. 5TH AVENUE
FLINT
MI
48503
Practice Location Phone/Fax
| Phone: | 8102573705 |
| Fax: |
Provider Mailing Location
420 W 5TH AVE
FLINT
MI
485032445
Provider Mailing Phone/Fax
| Phone: | 8102573705 |
| Fax: |