Individual
JANE M SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7714 NUMBER THREE ROAD, LOWVILLE, NY 13367
(315) 376-5958
(315) 376-5953
Mailing address
7714 NUMBER THREE ROAD, LOWVILLE, NY 13367
(315) 376-5958
(315) 376-5953
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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