Individual
VICTORIA SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
3214 WINCHESTER, BENTON, AR 72015-2929
(501) 326-6160
Mailing address
3505 SORRELL LN, TRASKWOOD, AR 72167-9218
(501) 326-6160
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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