Individual
SANDRA M DENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57 W MAIN ST, CHEHALIS, WA 98532-4815
(360) 506-1324
Mailing address
PO BOX 1447, CHEHALIS, WA 98532-0378
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG61110916
WA
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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