Individual
ROBERT SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 POPLAR AVE, MODESTO, CA 95354-0510
(209) 523-5473
Mailing address
100 POPLAR AVE, MODESTO, CA 95354-0510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
69129
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/24/2015
Last updated
10/21/2015
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