Individual
ADDISON BORLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10291 GRAND RIVER RD STE G, BRIGHTON, MI 48116-9500
(734) 559-3540
Mailing address
8250 WOODLAND SHORE DR, BRIGHTON, MI 48114-9313
(734) 679-1097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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