Individual
MS. SAMMIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3934 DIXIE HWY STE 320, SHIVELY, KY 40216-4198
(502) 830-9460
Mailing address
6406 TRIPLETT DR, LOUISVILLE, KY 40258-3048
(270) 952-4031
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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