Individual
MRS. MELBA B SANDIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
708 E MAIN ST, OAK GROVE, LA 71263-2500
(318) 428-9000
(318) 428-9759
Mailing address
708 E MAIN ST, OAK GROVE, LA 71263-2500
(318) 428-9000
(318) 428-9759
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1996
LA
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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