Individual
MS. LOLA SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA, MFTA
Contact information
Practice address
4232 SHOPTON RD, CHARLOTTE, NC 28217-3016
(336) 880-5247
Mailing address
8230 GLAMORGAN LN, MATTHEWS, NC 28104-0643
(336) 880-5247
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A10632
NC
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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