Individual
AMIE SANBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
400 JERICHO TPKE STE 104, JERICHO, NY 11753-1320
(516) 247-6457
Mailing address
67 LAFAYETTE AVE, SEA CLIFF, NY 11579-1731
(917) 776-8537
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
118355-01
NY
1041C0700X
Clinical Social Worker
Primary
118355-01
NY
Other
Enumeration date
11/28/2022
Last updated
12/17/2023
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