Individual
CRAIG BOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 S JOE B HALL AVE, SHEPHERDSVILLE, KY 40165-0690
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3732
KY
Other
Enumeration date
09/09/2009
Last updated
01/16/2013
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