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Individual

MELONY RAY SANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M. ED. LPCC

Contact information

Practice address
1333 MARTIN AVE, SHERIDAN, WY 82801-5520
(064) 839-7445
(307) 672-8950
Mailing address
1333 MARTIN AVE, SHERIDAN, WY 82801-5520
(064) 839-7445
(307) 672-8950

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1054-3-1-20-492
ND
101YP2500X
Professional Counselor
Primary
LPC-1783
WY

Other

Enumeration date
10/17/2017
Last updated
12/04/2024
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