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Individual

KATHLEEN MARGARET BORER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN., LICSW

Contact information

Practice address
14730 COBALT ST NW UNIT 12, RAMSEY, MN 55303-3032
(207) 991-8237
(207) 512-1672
Mailing address
2405 KALANIANAOLE ST PH 6, HILO, HI 96720-4905
(207) 991-8237

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16437
MN
1041C0700X
Clinical Social Worker
4091
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1821052960
BLUE CROSS BLUE SHIELD OF MINNESOTA
MN
05
877621100
MN
Enumeration date
04/14/2006
Last updated
12/12/2023
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