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General NPI Number Information
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NPI Number | 1215473350
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Entity Type | Individual
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Provider Name | JENNIFER BORJAS LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 1214 PARK ST STE 201B
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City | STOUGHTON
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State | MA
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Zip | 02072-3738
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Country | US
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Telephone | 617-631-8754
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Fax |
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Provider Business Mailing Address
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Address Line | 248 PROVIDENCE HWY # 5009
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City | WESTWOOD
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State | MA
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Zip | 02090-1908
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW228986
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License Number State | MA
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