Individual
MS. EVELYN DENISE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 SE 94TH CIR, MOORE, OK 73160-9128
(405) 625-3166
Mailing address
2601 SE 94TH CIR, MOORE, OK 73160-9128
(405) 625-3166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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