Individual
MELODY SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RIC
Contact information
Practice address
5209 ELMHURST AVE, NORFOLK, VA 23513-2241
(757) 285-0878
Mailing address
5209 ELMHURST AVE, NORFOLK, VA 23513-2241
(757) 285-0878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704014205
VA
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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