Individual
MS. SAMANTHA DE BORCHGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14000 S MILITARY TRL, DELRAY BEACH, FL 33484-2610
(561) 819-0620
Mailing address
14000 S MILITARY TRL, DELRAY BEACH, FL 33484-2610
(561) 819-0620
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SW12420
FL
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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