Individual
MIA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
26 WESMARK CT, SUMTER, SC 29150-1996
(803) 883-4981
Mailing address
5515 DAIS RD, REMBERT, SC 29128-9312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10754
SC
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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