Individual
LAURIE ANN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32117 NORTHRIDGE DR, WESLEY CHAPEL, FL 33545-1660
(813) 624-7535
Mailing address
32117 NORTHRIDGE DR, WESLEY CHAPEL, FL 33545-1660
(813) 624-7535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101066600
—
FL
Enumeration date
05/07/2018
Last updated
10/04/2019
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