Individual
BORAHM SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
9 LENAPE TRL, WAYNE, NJ 07470-4432
(202) 374-3495
Mailing address
9 LENAPE TRL, WAYNE, NJ 07470-4432
(202) 374-3495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
37PC00662400
NJ
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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