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Individual
MRS. BUDDY D. SANDERS
Active
Individual
MRS. BUDDY D. SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
06040351
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
GA
171W00000X
Contractor
TG-BFTS-9712
GA
174400000X
Specialist
PD--BFTS-9965
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
520070811A
—
GA
Enumeration date
03/02/2006
Last updated
05/27/2009
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