Individual
DR. MARY LOU BORGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
30 N MAIN ST, THREE RIVERS, MI 49093-1532
(269) 278-2003
(269) 278-1507
Mailing address
30 N MAIN ST, THREE RIVERS, MI 49093-1532
(269) 278-2003
(269) 278-1507
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008346
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304168
MHN NORTH
MI
Enumeration date
08/31/2006
Last updated
07/09/2007
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