Individual
MS. DIANA SUE SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
67 ALBERT BLOOD RD, LINCOLNVILLE, ME 04849-5033
(207) 763-3964
(207) 763-3967
Mailing address
67 ALBERT BLOOD RD, LINCOLNVILLE, ME 04849-5033
(207) 763-3964
(207) 763-3967
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11019
ME
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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