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Individual
MR. KENNETH DALE BORTON
Active
Individual
MR. KENNETH DALE BORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/30/2007
Last updated
09/10/2020
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