Individual
SAMANTHA BORUCHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.ED, PD, NCSP
Contact information
Practice address
925 BEAR CORBITT RD, BEAR, DE 19701-1323
(302) 454-2720
Mailing address
925 BEAR CORBITT RD, BEAR, DE 19701-1323
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
2696901
NY
103TS0200X
School Psychologist
Primary
86156
DE
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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