Organization
DESHEA SANDLES, LCSW, LLC
Active
Organization
DESHEA SANDLES, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESHEA SANDLES LCSW (LICENSED CLINICAL SOCIAL WORKER/OWN)
(850) 459-3155
Entity
Organization
Contact information
Practice address
3122 MAHAN DR STE 801-203, TALLAHASSEE, FL 32308-2500
(850) 901-0789
Mailing address
3122 MAHAN DR STE 801-203, TALLAHASSEE, FL 32308-2500
(850) 901-0789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FL
NA
—
Enumeration date
09/28/2022
Last updated
09/28/2022
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