Individual
SANDRA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
175 WILHELMINA DR, ELLENWOOD, GA 30294-2822
(404) 732-2220
Mailing address
175 WILHELMINA DR, ELLENWOOD, GA 30294-2822
(404) 732-2220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004767
GA
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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