Individual
AMANDA SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5571
(706) 596-5727
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5571
(706) 596-5727
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
LPN075326
GA
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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