Individual
MS. SALLY N. BORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW/CAC-1
Contact information
Practice address
8623 NORTH WAYNE ROAD, STE. 310, WESTLAND, MI 48185
(734) 425-0636
Mailing address
12717 RIVERVIEW STREET, DETROIT, MI 48223
(313) 533-1494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
L790106
MI
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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