Provider Information for 1619683364
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SANDY MICHELLE SEWARD LPC
Sex: Female
NPI: 1619683364
Last Updated: 2023-01-26
Certification Date: 2023-01-26
Certification Date: 2023-01-26
Details
Name | Value | ||||||||||||||||
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NPI | 1619683364 | ||||||||||||||||
Enumeration Date | 2023-01-26 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 3866 RIVERVIEW CIR ROBSTOWN, TX 78380-5883 United States Phone: 361-442-6376 | Fax: | ||||||||||||||||
Primary Practice Address | 3866 RIVERVIEW CIR ROBSTOWN, TX 78380-5883 United States Phone: 361-442-6376 | Fax: | ||||||||||||||||
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