Individual
MRS. MICHELLE LEE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
205 MARINE DR, ANDERSON, IN 46016-5937
(765) 648-2526
Mailing address
205 MARINE DR, ANDERSON, IN 46016-5937
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004018A
IN
Other
Enumeration date
06/22/2010
Last updated
09/28/2015
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