Individual
MS. SUSAN GERDA BORGLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
16 MOULTON ST E, DECATUR, AL 35601-2310
(256) 822-2375
Mailing address
16 MOULTON ST E, DECATUR, AL 35601-2310
(256) 822-2375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2820
AL
Other
Enumeration date
06/09/2017
Last updated
08/02/2022
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