Individual
MRS. ALICIA BOREMAN-MENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC/CR
Contact information
Practice address
5647 MAYBERRY SQUARE, SYLVANIA, OH 43560-9456
(419) 819-8428
Mailing address
2555 BERDAN AVE, TOLEDO, OH 43613-4805
(419) 819-8428
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1400233-CR
OH
101YM0800X
Mental Health Counselor
C.1400233-CR
OH
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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