Most Relevant Information
Provider Data
| NPI Number: | 1003365511 |
| Provider Name: | TAWANA DENISE SANDERS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | C012269 |
Most Important Dates
| Enumeration Date: | 09/26/2016 |
| Last Updated: | 12/23/2022 |
Provider Practice Location
325 HAWTHORNE LN STE 100
CHARLOTTE
NC
282042536
Practice Location Phone/Fax
| Phone: | 7043167760 |
| Fax: | 7043167761 |
Provider Mailing Location
PO BOX 60447
CHARLOTTE
NC
282600447
Provider Mailing Phone/Fax
| Phone: | 7043161650 |
| Fax: | 7043161651 |