Individual
JERI SUZANNE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 842-1692
Mailing address
PO BOX 88, BRANDON, MS 39043-0088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
M10621
MS
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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