Individual
ANGELIQUE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, CCC-SLP
Contact information
Practice address
618 ORANGE ST, MACON, GA 31201-2081
(478) 633-5600
Mailing address
618 ORANGE ST, MACON, GA 31201-2081
(478) 633-5600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100835
TX
235Z00000X
Speech-Language Pathologist
Primary
10396
GA
Other
Enumeration date
03/17/2015
Last updated
01/15/2026
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