Individual
SARAH A. BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
1955 US 1 SOUTH, SUITE 100, SAINT AUGUSTINE, FL 32086-5788
(904) 825-5055
Mailing address
1955 US 1 SOUTH, SUITE 100, SAINT AUGUSTINE, FL 32086-5788
(904) 825-5055
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004613600
—
FL
Enumeration date
05/21/2012
Last updated
05/21/2012
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