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Individual

GENELL G SANDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2601 APACHE CT, SIOUX CITY, IA 51104-1504
(712) 239-1111
(712) 239-1199
Mailing address
2601 APACHE CT, SIOUX CITY, IA 51104-1504
(712) 239-1111
(712) 239-1199

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00562
IA

Other

Enumeration date
12/02/2005
Last updated
03/10/2011
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