Individual
MRS. SANDRA LEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5202 SCHUYLER CT, COLUMBIA, MO 65202-2973
(573) 474-9667
Mailing address
5202 SCHUYLER CT, COLUMBIA, MO 65202-2973
(573) 474-9667
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
6117-8985
MO
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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