Individual
DR. CARL PERRY SANDERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LPC
Contact information
Practice address
1578 HIGHWAY 471, BRANDON, MS 39042-7511
(601) 825-8087
Mailing address
1578 HIGHWAY 471, BRANDON, MS 39042-7511
(601) 825-8087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0323
MS
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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