Provider Information for 1669048377
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Ms. SANDRA LYNN VAUGHN LPC
Sex: Female
NPI: 1669048377
Last Updated: 2021-06-02
Certification Date: 2021-06-02
Certification Date: 2021-06-02
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1669048377 | ||||||||
| Enumeration Date | 2021-06-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 35 LITTLE DEER TRL MCDONOUGH, GA 30253-5549 United States Phone: 404-218-7293 | Fax: | ||||||||
| Primary Practice Address | 35 LITTLE DEER TRL MCDONOUGH, GA 30253-5549 United States Phone: 404-218-7293 | Fax: | ||||||||
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