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Individual
MRS. SANDRA JO EVERETT
Active
Individual
MRS. SANDRA JO EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7942986-3902
UT
106H00000X
Marriage & Family Therapist
MFC 46543
CA
Other
Enumeration date
04/03/2007
Last updated
04/27/2011
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