| Doctor Name: | MRS. STEPHANIE JOAN BORDONARO |
| NPI Number: | 1013347871 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MAS, BSHS, AAS |
| License Number: | 44SW01406300 |
| Business Practice Address: | 100 Medical Center Way Somers Point, NJ - 082442300 |
| Business Phone Number: | 6096533440 |
| Business Fax Number: | 6096533699 |
| Mailing Address: | 100 Medical Center Way, SOMERS POINT |
| State: | NJ |
| Postal Code: | 082442300 |
| Phone Number: | 6096533440 |
| Fax Number: | 6096533699 |
| NPI Enumeration Date: | 11/14/2013 |
| NPI Last Update Date: | 11/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 44SW01406300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |