Individual
SANDRA HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA LBSW
Contact information
Practice address
8361 ELLIS RD, MILLINGTON, MI 48746-0359
(989) 871-6695
Mailing address
PO BOX 359, MILLINGTON, MI 48746-0359
(989) 871-6695
(989) 871-3663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6802035102
MI
1041C0700X
Clinical Social Worker
6801035102
MI
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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