Individual
LAURA ANN BOROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 239-0434
Mailing address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6361004931
MI
103TC0700X
Clinical Psychologist
6361004931
MI
Other
Enumeration date
05/22/2008
Last updated
06/10/2024
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