Sally Wisotzkey | Ann Arbor, MI • PECOS Search

Sally Wisotzkey

Social Worker

Behavioral Health & Social Service Providers

117 N Division St, Ann Arbor, MI 48104-1580

PECOS Enrollment

Based on the most recent information from CMS, provider Sally Wisotzkey does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1982883104
Provider Type
Individual
Full Name
Wisotzkey, Sally
Title
Ms.
Credential
MSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/25/2007
Last Updated
12/30/2022

Contact Information

Practice Location

117 N Division St, Ann Arbor, MI 48104-1580

Unlisted Fax

Mailing Location

117 N Division St, Ann Arbor, MI 48104-1580

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801034851 Michigan