Individual
MR. JUSTIN MICHAEL SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
1879 DEERFIELD RD, LEBANNON, OH 45036
(513) 695-2900
Mailing address
2674 APEX CT, HAMILTON, OH 45011
(513) 253-1579
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OH
Other
Enumeration date
02/14/2018
Last updated
08/19/2021
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