Marin, Suzanne Borofsky
Marin, Suzanne Borofsky is an sole proprietor health care provider with primary practice located at 2554 Lewisville Clemmons Rd Ste 112 , Clemmons NC 27012-9927. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Marin, Suzanne Borofsky can be contacted via phone (336) 283-2510.Contact Information
Primary practice address
2554 Lewisville Clemmons Rd Ste 112
Clemmons NC 27012-9927
Phone: (336) 283-2510
Fax: (336) 776-0091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C015136 | North Carolina |
Profile Details
| NPI number | 1265919062 |
|---|---|
| LBN Legal business name | Marin, Suzanne Borofsky |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2018 |
| Last updated | Oct 25th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265919062 | NPPES |
| North Carolina | MEDICAID | 1265919062 |
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