Doctor Name: | MRS. RANDAL R BORROFF |
NPI Number: | 1639264690 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW ACSW |
License Number: | 2004000337 |
Business Practice Address: | 16917 Manchester Rd Grover, MO - 630401209 |
Business Phone Number: | 3144713411 |
Business Fax Number: | |
Mailing Address: | 725 Enderwood Pl, EUREKA |
State: | MO |
Postal Code: | 63025 |
Phone Number: | 3144713411 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2004000337 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |