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Individual

MS. MARY ANN SANDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
4220 NW HUXMAN RD, SILVER LAKE, KS 66539-9482
(785) 582-5179
Mailing address
4220 NW HUXMAN RD, SILVER LAKE, KS 66539-9482
(785) 582-5179

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1664
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000070928
BLUECROSS/BLUE SHIELD OF
KS
Enumeration date
09/13/2006
Last updated
07/08/2007
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