Individual
MISS DESHEA NICOLE SANDLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1990 VILLAGE GREEN WAY STE 3, TALLAHASSEE, FL 32308-3877
(850) 999-2140
(850) 999-2150
Mailing address
1990 VILLAGE GREEN WAY STE 3, TALLAHASSEE, FL 32308-3877
(850) 999-2140
(850) 999-2150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29427
MD
1041C0700X
Clinical Social Worker
SW10461
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013810900
—
FL
Enumeration date
08/28/2012
Last updated
01/02/2024
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