Individual
JULIE BORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8555
Mailing address
800 MEDICAL CENTER DR, PO BOX 800, FAIRMONT, MN 56031-4575
(507) 238-8555
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3849
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121810
—
MN
01
—
287G4MC
BLUE PLUS
MN
01
—
7306
AVERA
MN
01
—
862667
ARAZ
MN
01
—
A030
CHAMPUS
MN
01
—
HP28362
HEALTHPARTNERS
MN
01
—
MH9041010744
PREFERREDONE
MN
Enumeration date
12/06/2005
Last updated
07/09/2007
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