Individual
SHIRLEY BOONE-SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
485 S PERRY ST, SUITE D, LAWRENCEVILLE, GA 30045-4923
(678) 205-0838
(678) 205-0800
Mailing address
PO BOX 2133, LAWRENCEVILLE, GA 30046-2133
(678) 205-0838
(678) 205-0800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002451
GA
Other
Enumeration date
03/29/2006
Last updated
01/03/2008
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