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NPI Code Detail

MEDICARE: HOPE BORDEN LCSW

MEDICARE: HOPE BORDEN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker33010071AIN
21041C0700XClinical Social Worker34010344AIN

General Provider Information

NPI Number : 1114510203
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOPE BORDEN LCSW
Provider Business Mailing Address
First Line : 800 W 9TH ST
Second Line :
City : JASPER
State : IN
Zip : 47546-2516
Country : US
Telephone Number : 812-996-0437
Fax Number : 812-996-0439
Provider Business Practice Location Address
First Line : 800 W 9TH ST
Second Line :
City : JASPER
State : IN
Zip : 47546-2516
Country : US
Telephone Number : 812-996-0437
Fax Number : 812-996-0439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2021
Last Update Date : 04/12/2023

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Directions to “ HOPE BORDEN LCSW” Practice Location

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