Most Relevant Information
Provider Data
| NPI Number: | 1003388141 |
| Provider Name: | SANDRA ENDERS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 44.001491 |
Most Important Dates
| Enumeration Date: | 12/31/2018 |
| Last Updated: | 04/02/2024 |
Provider Practice Location
23 OREGON AVE
EAST HAVEN
CT
065124120
Practice Location Phone/Fax
| Phone: | 2034686277 |
| Fax: |
Provider Mailing Location
23 OREGON AVE
EAST HAVEN
CT
065124120
Provider Mailing Phone/Fax
| Phone: | 2034686277 |
| Fax: |