Individual
CHARIE ANN SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
210 S ELM ST, NEVADA, MO 64772-3413
(417) 682-5757
(417) 682-5757
Mailing address
1107 BROADWAY ST, LAMAR, MO 64759-1758
(417) 682-5757
(417) 682-5757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
000245
MO
101Y00000X
Counselor
Primary
2019004030
MO
Other
Enumeration date
02/12/2019
Last updated
07/22/2019
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