Individual
CAROLYN ROUNDS BORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
301 BRIARWOOD CT, NEW PALTZ, NY 12561-1540
(845) 255-2617
(845) 256-0868
Mailing address
301 BRIARWOOD CT, NEW PALTZ, NY 12561-1540
(845) 255-2617
(845) 256-0868
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R025276-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065022
GHI/VALUE OPITONS
NY
01
—
11237602
CAQH
NY
01
—
P531159
OXFORD
NY
Enumeration date
09/21/2006
Last updated
12/20/2007
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