Individual
MS. SANDRA ANN MARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
11-21 BROADWAY ST, GLOVERSVILLE, NY 12078-3968
(518) 725-4310
(518) 725-3116
Mailing address
11-21 BROADWAY ST, GLOVERSVILLE, NY 12078-3968
(518) 725-4310
(518) 725-3116
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3648
NY
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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