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1396274056
SHELLY D SANDERS
COEUR D ALENE, ID
NPI
1396274056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 39692)
Enumeration Date
2017-06-07
Last Update Date
2020-06-09
Business Address
SHELLY D SANDERS LCSW
1620 NORTHWEST BLVD STE 101
COEUR D ALENE, ID 83814-2488
Phone number: 208-512-5085
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Mailing Address
SHELLY D SANDERS LCSW
1620 NORTHWEST BLVD STE 101
COEUR D ALENE, ID 83814-2488
Phone number: 208-512-5085
Copy
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