Individual
DAWN MARIE SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5613 LIVERNOIS, DETROIT, MI 48210
(313) 894-4602
Mailing address
16476 BRINGARD DR, DETROIT, MI 48205-1521
(313) 942-0220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
823010
MI
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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