Individual
MS. KATHRYN COOK SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, CLC
Contact information
Practice address
3920 GROVE TRL, LOGANVILLE, GA 30052-7212
(404) 593-8719
Mailing address
3920 GROVE TRL, LOGANVILLE, GA 30052-7212
(404) 593-8719
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
LC000015
GA
Other
Enumeration date
06/12/2017
Last updated
07/20/2024
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