Provider Information for 1346585338
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JERRELDA SANDERS LCSW
Sex: Female
NPI: 1346585338
Last Updated: 2023-11-21
Certification Date: 2023-11-21
Certification Date: 2023-11-21
Details
| Name | Value | ||||||||||||||||
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| NPI | 1346585338 | ||||||||||||||||
| Enumeration Date | 2012-12-03 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | PO BOX 870362 NEW ORLEANS, LA 70187-0362 United States Phone: 504-247-6519 | Fax: | ||||||||||||||||
| Primary Practice Address | 4718 PARIS AVE NEW ORLEANS, LA 70122-2553 United States Phone: 504-247-6519 | Fax: | ||||||||||||||||
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