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Individual
JERRY A BORISKIN
Active
Individual
JERRY A BORISKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY0003779
FL
103TC0700X
Clinical Psychologist
Primary
PY0003779
FL
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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