Individual
INGRID MARIE BORNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 COLISEUM CROSSING, # 138, HAMPTON, VA 23666-5971
(757) 893-0321
Mailing address
110 COLISEUM CROSSING, #138, HAMPTON, VA 23666-5962
(757) 893-0321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007772
VA
Other
Enumeration date
01/10/2012
Last updated
04/16/2019
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