Individual
SANDRA L SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4010 AERIAL WAY, EUGENE, OR 97402-9757
(541) 242-8311
(541) 242-8335
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1908
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181478
—
OR
Enumeration date
07/04/2006
Last updated
10/11/2007
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