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Individual

ALESA C BORDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
710 N 8TH ST, SPRINGFIELD, IL 62702-6324
(217) 525-1064
(217) 525-1651
Mailing address
710 N 8TH ST, SPRINGFIELD, IL 62702-6324
(217) 525-1064
(217) 525-1651

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150109434
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150.109434
LSW
IL
Enumeration date
02/07/2023
Last updated
02/07/2023
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