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Individual

MR. BRYAN DARVELL SANFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
J.D.

Contact information

Practice address
12567 W MAZATZAL DR, PEORIA, AZ 85383-0380
(702) 578-6779
Mailing address
12567 W MAZATZAL DR, PEORIA, AZ 85383-0380
(702) 578-6779

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
09/11/2009
Last updated
10/19/2018
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