Individual
BRIAN L SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
(740) 876-4005
Mailing address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
(740) 876-4005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1701626
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0275657
—
OH
Enumeration date
10/18/2017
Last updated
05/31/2023
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