Connie Sanford LMFT

NPI 1538391123 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1538391123
Gender Female
Enumeration Date 08/14/2009
Last Updated 12/04/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
4100 MAMIE ST
HATTIESBURG MS, 39402-1735, US
Phone (601) 705-1901
Fax
Business Location
141 WILLOW BROOK DR
HATTIESBURG MS, 39402-1488, US
Phone (601) 705-1901
Fax
Toxanomy
Taxonomy Code 106H00000X
License State Mississippi
License Number C1017
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According to our database, Connie Sanford LMFT NPI is 1538391123, taxonomy code is 106H00000X and license number is C1017, license state is located at Mississippi. Connie Sanford LMFT physically located at 4100 Mamie St, Hattiesburg MS, 39402-1735. NPI Number Connie Sanford LMFT has the Individual type.

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1538391123 NPI number is provided on an as is basis without warranty of any kind. 1538391123 is maintained by the National Plan & Provider Enumeration System. The contents of Connie Sanford LMFT are for informational purposes only.