Marian Susan Sanborn Lcsw Pllc
NPI #1508548744 in Port Jervis, New York
Provider Information
- NPI Number
- 1508548744
- Entity Type
- Organization
- Organization Name
- Marian Susan Sanborn Lcsw Pllc
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Aug 7, 2023
- Last Updated
- Dec 22, 2023
Practice Location
- Address
- 136 JERSEY AVE
- City
- Port Jervis
- State
- New York
- ZIP Code
- 12771-2611
- Phone
- (845) 328-0133
Authorized Official
- Name
- NICOLE SABORN
- Title
- INSURANCE COORDINATOR
- Phone
- (570) 994-6920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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