Individual
MS. NANCY ELLEN BORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
500 CHAPMAN ST, SUITE 104, CANTON, MA 02021-2093
(781) 821-9955
(781) 821-9950
Mailing address
12 ORLEANS RD, NORWOOD, MA 02062-1037
(781) 255-9157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2040
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2040
SLP LICENSE
MA
Enumeration date
05/07/2007
Last updated
07/08/2007
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