Individual
TYSHAWNA CORALICIA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(846) 467-3790
Mailing address
PO BOX 1948, GREENVILLE, SC 29602-1948
(864) 467-2677
(864) 467-3750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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