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Julie A Borgen, LCSW

Social Worker, Clinical in Canandaigua, NY. Individual provider (NPI-1).

NPI number1639488307
StatusActive
Last updated in NPPESApr 25, 2011

Details

NPI
1639488307
Entity type
Individual (NPI-1)
Name
Julie A Borgen
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 29, 2010
Last updated
Apr 25, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalR040491-1NYYes

Practice location

400 Fort Hill Ave
Canandaigua, NY 14424-1159

Phone 585-393-7777

Mailing address

688 East Ave
Apt 2a
Rochester, NY 14607-2155

Phone 585-473-3508

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