Individual
WANDA YOUNG SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED., EDS
Contact information
Practice address
1230 LAMONT CIR, DACULA, GA 30019-4528
(770) 355-8217
Mailing address
1230 LAMONT CIR, DACULA, GA 30019-4528
(770) 355-8217
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
234989
GA
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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