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NPI Profile for GREGORY A SANDERS in LAVEEN VILLAGE, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1306685490 |
|
| Status | Active | |
| Credentials | LAC | |
| Entity | Individual | |
| Enumeration date | 05/20/2024 | |
| Last updated | 05/20/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GREGORY A SANDERS
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GREGORY A SANDERS, LAC