Individual
MRS. MARY CLINARD BORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LPC,NCC
Contact information
Practice address
1616 E ROOSEVELT RD STE 8, WHEATON, IL 60187-6850
(630) 588-1201
Mailing address
1616 E ROOSEVELT RD STE 8, WHEATON, IL 60187-6850
(630) 588-1201
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.014136
IL
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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