Individual
MS. CARMEN BORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
301 N SECOND ST, MEBANE, NC 27302-2401
(336) 675-9375
Mailing address
7800 LEBANON RD, MEBANE, NC 27302-8724
(336) 675-9375
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1270
NC
Other
Enumeration date
10/14/2008
Last updated
07/14/2009
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