Individual
SHAWN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3858 N CAMELOT DR, APT 3B, DECATUR, IL 62526-2057
(217) 201-8899
Mailing address
3858 N CAMELOT DR, APT 3B, DECATUR, IL 62526-2057
(217) 201-8899
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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