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Organization
SANDERS AND ASSOCIATES. LLC
Active
Organization
SANDERS AND ASSOCIATES. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W SANDERS PH.D. (SINGLE MEMBER)
(317) 479-2315
Entity
Organization
Contact information
Practice address
5555 N TACOMA AVE, SUITE 204, INDIANAPOLIS, IN 46220-3512
(317) 257-7434
(317) 221-7733
Mailing address
5555 N TACOMA AVE, SUITE 204, INDIANAPOLIS, IN 46220-3547
(317) 257-7434
(317) 221-7733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002652A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000541815
ANTHEM PIN
IN
Enumeration date
05/16/2008
Last updated
03/13/2014
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