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Sandra Sanders, LCSW

Social Worker, Clinical in Ellenwood, GA. Individual provider (NPI-1).

NPI number1972971752
StatusActive
Last updated in NPPESSep 10, 2015

Details

NPI
1972971752
Entity type
Individual (NPI-1)
Name
Sandra Sanders
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 10, 2015
Last updated
Sep 10, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical004767GAYes

Practice location

175 Wilhelmina Dr
Ellenwood, GA 30294-2822

Phone 404-732-2220

Mailing address

175 Wilhelmina Dr
Ellenwood, GA 30294-2822

Phone 404-732-2220

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