Individual
MS. GWENDOLYN MICHELLE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
103 WINDWARD CT, CANTON, MS 39046-8020
(601) 362-4471
(601) 368-4089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4443
LA
1041C0700X
Clinical Social Worker
Primary
C7373
MS
Other
Enumeration date
08/24/2006
Last updated
11/20/2023
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