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Individual

GLENDA K. SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
840 E 87TH ST, 100, CHICAGO, IL 60619-6248
(708) 738-2318
Mailing address
9229 S SANGAMON ST, CHICAGO, IL 60620-2732
(708) 738-2318

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
180.009525
IL
101YM0800X
Mental Health Counselor
180.009525
IL
101YP2500X
Professional Counselor
Primary
180.009525
IL

Other

Enumeration date
08/05/2015
Last updated
08/05/2015
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