Individual
MRS. BRENDA SUE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
221 FOUNTAIN PL, BELLEFONTAINE, OH 43311-2205
(937) 593-9600
(937) 592-7705
Mailing address
221 FOUNTAIN PL, BELLEFONTAINE, OH 43311-2205
(937) 593-9600
(937) 592-7705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0005014
OH
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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