Individual
MS. DIMITRA Y. SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
209 EXECUTIVE PARK, LOUISVILLE, KY 40207-4202
(502) 895-4671
Mailing address
941 PALATKA RD, LOUISVILLE, KY 40214-3407
(502) 367-2680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3001
KY
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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