Individual
ALISA SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1924 CLAIRMONT RD STE 10, DECATUR, GA 30033-3450
(404) 913-2576
Mailing address
1109 COLQUITT AVE NE, ATLANTA, GA 30307-1921
(404) 310-0752
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007678
GA
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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