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Individual

MS. JOYCE ELIZABETH SANFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
1116 NORTH ST, APARTMENT A, LAFAYETTE, IN 47904-4046
(765) 714-2500
(765) 269-9907
Mailing address
1116 NORTH ST, APARTMENT A, LAFAYETTE, IN 47904-4046
(765) 714-2500
(765) 269-9907

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003609A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200498350A
IN
05
200723140A
IN
Enumeration date
07/23/2006
Last updated
10/07/2013
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