Individual
LORI KANAGY BOROFKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
765 FOXRIDGE PLACE, SAN JOSE, CA 95133-1435
(408) 724-0968
Mailing address
765 FOXRIDGE PLACE, SAN JOSE, CA 95133-1435
(408) 724-0968
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP3146
CA
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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