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Individual
EARLE B SANFORD
Active
Individual
EARLE B SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000985
CT
101YP2500X
Professional Counselor
Primary
001084
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004082260
—
CT
05
—
008001325
—
CT
05
—
008022622
—
CT
05
—
008038054
—
CT
Enumeration date
12/08/2011
Last updated
12/07/2012
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