Individual
ANNE BORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
732 MAIN ST, TOLEDO, OH 43605-2397
(419) 691-0600
Mailing address
118 EMERY ST, TOLEDO, OH 43609-2023
(419) 279-0277
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.174852
OH
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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