Provider Information for 1497460133
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JENNIFER ANN BORDERS MA, LPC
Sex: Female
NPI: 1497460133
Last Updated: 2024-01-03
Certification Date: 2024-01-03
Certification Date: 2024-01-03
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1497460133 | ||||||||||||
| Enumeration Date | 2023-01-17 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 201 SMYTHE ST APT 426 GREENVILLE, SC 29611-6340 United States Phone: 770-576-0025 | Fax: | ||||||||||||
| Primary Practice Address | 430 WOODRUFF RD STE 450 GREENVILLE, SC 29607-3443 United States Phone: 864-400-5130 | Fax:864-818-4697 | ||||||||||||
| Secondary Practice Address(es) | 201 SMYTHE ST APT 426 | ||||||||||||
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