Individual
MS. HEATHER LYNN SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
(734) 287-1953
Mailing address
7371 HARTEL ST, WESTLAND, MI 48185-2536
(734) 634-9487
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801106791
MI
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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