Doctor Name: | DEBRA BORDEN |
NPI Number: | 1053540229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | NJ44SC04733800 |
Business Practice Address: | 1 International Blvd Suite 400 Mahwah, NJ - 074950027 |
Business Phone Number: | 8774469687 |
Business Fax Number: | 2019341471 |
Mailing Address: | 1 International Blvd, Suite 400 MAHWAH |
State: | NJ |
Postal Code: | 074950027 |
Phone Number: | 8774469687 |
Fax Number: | 2019341471 |
NPI Enumeration Date: | 07/09/2009 |
NPI Last Update Date: | 07/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | NJ44SC04733800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |