Most Relevant Information
Provider Data
| NPI Number: | 1003201534 |
| Provider Name: | SARAH BRANHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2015 |
| Last Updated: | 04/01/2015 |
Provider Practice Location
139 CORNELL ST
KINGSTON
NY
124013633
Practice Location Phone/Fax
| Phone: | 8453381234 |
| Fax: | 8453381234 |
Provider Mailing Location
139 CORNELL ST
KINGSTON
NY
124013633
Provider Mailing Phone/Fax
| Phone: | 8453381234 |
| Fax: | 8453381234 |