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NPI Code Detail

MEDICARE: MS. SHELIA DENISE SANDERS LMSW

MEDICARE: MS. SHELIA DENISE SANDERS LMSW
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
1104100000XSocial Worker2144-MAR

General Provider Information

NPI Number : 1477702116
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHELIA DENISE SANDERS LMSW
Provider Business Mailing Address
First Line : 4001 COMMERCIAL CENTER DR STE 2
Second Line :
City : MARION
State : AR
Zip : 72364-9616
Country : US
Telephone Number : 870-732-7920
Fax Number : 870-732-7923
Provider Business Practice Location Address
First Line : 6210 BASELINE RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72209-4728
Country : US
Telephone Number : 501-265-0302
Fax Number : 501-265-0300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2008
Last Update Date : 07/13/2022

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