Individual
MS. SANDRA SMITHERS TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
608 W RAWHIDE AVE, GILBERT, AZ 85233-6343
(480) 507-2165
Mailing address
PO BOX 2051, GILBERT, AZ 85299-2051
(480) 507-2031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1045
AZ
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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