Individual
KEJUANA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 INDUSTRIAL DR, GREENVILLE, SC 29607-3241
(864) 467-3790
Mailing address
130 INDUSTRIAL DR, GREENVILLE, SC 29607-3241
(864) 467-3790
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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