Individual
SANDRA DENISE CLAIRBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 BLUEHAVEN DR, DAYTON, OH 45406-3337
(937) 580-6830
Mailing address
4650 BLUEHAVEN DR, DAYTON, OH 45406-3337
(937) 580-6830
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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