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Individual
KATHLEEN KAROL HEFNER-BORMAN
Active
Individual
KATHLEEN KAROL HEFNER-BORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW115139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW115139
BBS
CA
Enumeration date
06/05/2018
Last updated
10/01/2025
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