Individual
KAYLA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3116 N OAK STREET EXT, VALDOSTA, GA 31602-1007
(229) 671-3500
Mailing address
801 MADELYN ST, HAHIRA, GA 31632-1292
(229) 563-2679
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW010972
GA
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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