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Individual

DAVID TALOR SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PCC-S

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0900459-SUPV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0217612
OH
Enumeration date
03/16/2016
Last updated
03/06/2019
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