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NPI 1558820332

NPI 1558820332 : ALEXA BORROWS MS, LAC, NCC : MARLTON, NJ

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General NPI Number Information
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    NPI Number           |    1558820332
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXA BORROWS MS, LAC, NCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/19/2019
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    Last Update Date     |    03/19/2019
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Provider Practice Location Address
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    Address Line         |    105 EVESBORO MEDFORD RD STE M 
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    City                 |    MARLTON
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    State                |    NJ
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    Zip                  |    08053-3865
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    Country              |    US
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    Telephone            |    609-353-5608
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    125 PRINCE ST 
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    City                 |    BORDENTOWN
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    State                |    NJ
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    Zip                  |    08505-1336
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    Country              |    US
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    Telephone            |    215-778-1706
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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