Diane Lois Sanford
NPI #1003393265 in Jackson, Mississippi
Provider Information
- NPI Number
- 1003393265
- Entity Type
- Individual
- Name
- Diane Lois Sanford
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Jul 20, 2018
- Last Updated
- Jul 20, 2018
Practice Location
- Address
- 860 E RIVER PL STE 100
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39202-3442
- Phone
- (769) 251-5550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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