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Individual

MS. SARAH MARIE BLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASACT

Contact information

Practice address
104 W SOUTH ST, ROME, NY 13440-6524
(315) 533-6506
Mailing address
104 W SOUTH ST, P.O. BOX 286, ROME, NY 13440-6524
(315) 533-6506

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18611
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18611
CASACT
NY
Enumeration date
08/19/2006
Last updated
07/08/2007
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