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Organization

EMILY SANDERSON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY CHRISTINA SANDERSON LPC (SOLE MEMBER)
(210) 381-0711
Entity
Organization

Contact information

Practice address
1132 W BLANCO RD, SAN ANTONIO, TX 78232-1012
(210) 381-0711
Mailing address
1132 W BLANCO RD, SAN ANTONIO, TX 78232-1012
(210) 381-0711

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
66479
TX

Other

Enumeration date
12/20/2011
Last updated
12/20/2011
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