Individual
JESSICA LORRAINE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PIP
Contact information
Practice address
209 W JESSAMINE AVE, FOLEY, AL 36535-2010
(205) 602-7365
Mailing address
294 CYPRESS LAKE DRIVE, GULF SHORES, AL 36542-9102
(205) 602-7365
(251) 948-9500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1821C
AL
1041C0700X
Clinical Social Worker
Primary
0752-1821C
AL
Other
Enumeration date
06/11/2012
Last updated
05/12/2023
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