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Individual

MRS. KELLY ANN SARNOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
51 MARKET ST, BANGOR, PA 18013-1901
(610) 588-9109
(610) 588-5016
Mailing address
94 JOHNSON RD, BANGOR, PA 18013-9238
(610) 599-3115

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05404000
NJ
1041C0700X
Clinical Social Worker
Primary
CW016370
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50064513
CAPITAL BLUE CROSS
PA
Enumeration date
02/13/2007
Last updated
08/10/2009
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