Marian Susan Sanborn Lcsw Pllc | |
136 Jersey Ave Port Jervis NY 12771-2611 | |
(845) 328-0133 | |
Not Available |
Full Name | Marian Susan Sanborn Lcsw Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 136 Jersey Ave, Port Jervis, New York |
Authorized Official Name and Position | Nicole Saborn (INSURANCE COORDINATOR) |
Authorized Official Contact | 5709946920 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marian Susan Sanborn Lcsw Pllc 700 Avenue M Matamoras PA 18336-1811 Ph: (845) 328-0133 | Marian Susan Sanborn Lcsw Pllc 136 Jersey Ave Port Jervis NY 12771-2611 Ph: (845) 328-0133 |
NPI Number | 1508548744 |
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Provider Enumeration Date | 08/07/2023 |
Last Update Date | 12/22/2023 |
Certification Date | 12/22/2023 |
Identifier | Type | State | Issuer |
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1508548744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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