Individual
JERRI SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 N. DIXIE HIGHWAY, D, ELIZABETHTOWN, KY 42701
(270) 734-2087
Mailing address
120 CROGHAN WAY, VINE GROVE, KY 40175-9724
(270) 734-2087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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