Individual
ALLISON ILENE BORSUK-GEORGANDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 N CALIFORNIA ST, STOCKTON, CA 95202
(209) 468-8656
Mailing address
1414 N CALIFORNIA ST, STOCKTON, CA 95202-1515
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
06/05/2019
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