Individual
SANDRA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 31ST ST N, ST PETERSBURG, FL 33713-7605
(727) 821-4819
(727) 822-6240
Mailing address
445 31ST ST N, ST PETERSBURG, FL 33713-7605
(727) 821-4819
(727) 822-6240
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750784400
—
FL
Enumeration date
04/22/2008
Last updated
04/22/2008
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