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Individual

DAVID BOREK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LCADC

Contact information

Practice address
105 EVESBORO MEDFORD RD, SUITE M, MARLTON, NJ 08053-3865
(609) 353-5608
(609) 798-0092
Mailing address
105 EVESBORO MEDFORD RD, SUITE M, MARLTON, NJ 08053-3865
(609) 353-5608
(609) 798-0092

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00228000
NJ
101YP2500X
Professional Counselor
Primary
37PC00521100
NJ

Other

Enumeration date
11/04/2013
Last updated
07/11/2015
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