Individual
ADINA SARA TABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
1050 HALLOCK AVE RM 102, PORT JEFFERSON STATION, NY 11776-1214
(856) 282-5590
(856) 320-9854
Mailing address
1301 U ST NW APT 212, WASHINGTON, DC 20009-7943
(240) 505-6283
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
093897
NY
1041C0700X
Clinical Social Worker
Primary
088375
NY
Other
Enumeration date
09/02/2016
Last updated
04/26/2025
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