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NPI Code Detail

MEDICARE: SANDRA G HENSLRY

MEDICARE: SANDRA G HENSLRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1629106232
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA G HENSLRY
Provider Business Mailing Address
First Line : 3915 COVEY HOLLOW RD.
Second Line :
City : COLUMBIA
State : TN
Zip : 38401
Country : US
Telephone Number : 931-218-5213
Fax Number :
Provider Business Practice Location Address
First Line : 418 W 7TH ST
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-3135
Country : US
Telephone Number : 931-388-0078
Fax Number : 931-388-6608
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 07/08/2007

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Directions to “ SANDRA G HENSLRY ” Practice Location

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