Individual
DANDREA R SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1780B SOUTHGATE LN SE, CONYERS, GA 30013-2337
(470) 207-2044
Mailing address
1780B SOUTHGATE LN SE, CONYERS, GA 30013-2337
(470) 207-2044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/07/2019
Last updated
06/11/2019
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