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Individual
CARON SANPHY
Active
Individual
CARON SANPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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