Individual
MS. JUDITH E BORREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6510 GRAND TETON PLZ, SUITE 406, MADISON, WI 53719-1029
(608) 833-9290
(608) 833-9691
Mailing address
6510 GRAND TETON PLZ, SUITE 406, MADISON, WI 53719-1029
(608) 833-9290
(608) 833-9691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1057-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023840027
WI MEDICARE
WI
01
—
10539
DEAN HEALTH PLAN
WI
05
—
39276800
—
WI
01
—
999000299
WPS
WI
Enumeration date
04/27/2006
Last updated
08/15/2008
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