Individual
MRS. MICHELLE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1719 METROPOLITAN AVE, LEAVENWORTH, KS 66048-1124
(913) 250-5634
(913) 250-6561
Mailing address
825 IOWA AVE, FORT LEAVENWORTH, KS 66027-1138
(313) 670-7015
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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