Individual
KAHN BORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
5001 CHERRY GULCH LN, EMMETT, ID 83617-5123
(208) 365-3437
Mailing address
PO BOX 678, EMMETT, ID 83617-0678
(208) 365-3437
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34093
ID
104100000X
Social Worker
LMSW-34093
ID
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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