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General NPI Number Information
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NPI Number | 1598245896
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Entity Type | Individual
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Provider Name | KELLY BORICH LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/16/2018
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 1011 BROOKSIDE RD STE 290
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City | ALLENTOWN
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State | PA
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Zip | 18106-9022
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Country | US
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Telephone | 609-802-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 1091 MILL CREEK RD STE 120
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City | ALLENTOWN
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State | PA
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Zip | 18106-9159
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Country | US
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Telephone | 484-275-2995
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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 | CW024560
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License Number State | PA
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