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Organization

BORUM AND ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIA M. BORUM LMHC (OWNER)
(863) 860-0531
Entity
Organization

Contact information

Practice address
5110 S FLORIDA AVE, 105, LAKELAND, FL 33813-2512
(863) 860-0531
Mailing address
5110 S FLORIDA AVE, 105, LAKELAND, FL 33813-2512
(863) 860-0531

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH10124
FL

Other

Enumeration date
10/01/2013
Last updated
10/01/2013
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