Individual
ANTHONY JORO SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, TLLP, DP-C
Contact information
Practice address
54 SENECA ST, PONTIAC, MI 48342-2349
(248) 836-0191
(248) 836-0199
Mailing address
53323 REBECCA DR, MACOMB, MI 48042-5734
(586) 676-7818
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009844
MI
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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