Mansour, Sara

Mansour, Sara is an individual health care provider with primary practice located at 327 Mount Laurel Rd , Mount Laurel NJ 08054-9556. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mansour, Sara can be contacted via phone (856) 802-0186.

Contact Information

Primary practice address
327 Mount Laurel Rd Mount Laurel NJ 08054-9556
Phone: (856) 802-0186
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1508218223
LBN Legal business name Mansour, Sara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2016
Last updated Jul 6th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508218223 NPPES
New Jersey MEDICAID 210634494

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