Individual
SANDRA GAIL PANKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
4201 MANNHEIM RD STE G, JASPER, IN 47546-9617
(812) 481-9988
Mailing address
7924 N CUZCO RD N, FRENCH LICK, IN 47432-9000
(812) 791-2036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001305A
IN
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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