Individual provider · NPI-1

Sandra Denise Clairborne

Day Training, Developmentally Disabled Services · Dayton, OH

NPI number1821788068

StatusActive

Last updated in NPPESMay 10, 2023

Details

NPI: 1821788068
Entity type: Individual (NPI-1)
Name: Sandra Denise Clairborne
Sex: Female
Sole proprietor: Yes
Enumeration date: May 10, 2023
Certification date: May 10, 2023
Last updated: May 10, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251C00000X	Day Training, Developmentally Disabled Services	–	–	Yes

Practice location

4650 Bluehaven Dr
Dayton, OH 45406-3337

Phone 937-580-6830

Mailing address

4650 Bluehaven Dr
Dayton, OH 45406-3337

Phone 937-580-6830

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