Full Name | |
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Speciality | Community/behavioral Health |
Location | 238 N Main St, Salem, New York |
Authorized Official Name and Position | Kelsi Nicole Sesselman-brown (OWNER) |
Authorized Official Contact | 8022826367 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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238 N Main St Salem NY 12865-3115 Ph: (802) 282-6367 | 238 N Main St Salem NY 12865-3115 Ph: (802) 282-6367 |
NPI Number | 1932916590 |
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Provider Enumeration Date | 12/16/2024 |
Last Update Date | 12/17/2024 |
Certification Date | 12/17/2024 |
Identifier | Type | State | Issuer |
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1932916590 | NPI | - | NPPES |