STACY SANDERS

LEBANON, TN
NPI1154925808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-11-23
Last Update Date2020-11-24
Business Address
STACY SANDERS cap student
1633 W. MAIN ST
LEBANON, TN 37087
Phone number: 850-331-8681
Mailing Address
STACY SANDERS cap student
4908 BELL RIDGE LANE APRTMENT 104
MILTON, FL 32571
Phone number: 850-713-4609