Individual
MR. LARRY SHAWN SANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
925 STATE ROUTE V V, KENNETT, MO 63857
(573) 888-5925
(573) 888-9365
Mailing address
925 STATE ROUTE V V, PO BOX 71, KENNETT, MO 63857
(573) 888-5925
(573) 888-9365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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