Organization
MARIAN SUSAN SANBORN LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SABORN (INSURANCE COORDINATOR)
(570) 994-6920
Entity
Organization
Contact information
Practice address
136 JERSEY AVE, PORT JERVIS, NY 12771-2611
(845) 328-0133
Mailing address
700 AVENUE M, MATAMORAS, PA 18336-1811
(845) 328-0133
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
12/22/2023
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