Provider Demographics
NPI:1275685463
Name:BOROWSKI, PAULA (SW)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:BOROWSKI
Suffix:
Gender:F
Credentials:SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12200 LOMAS BLVD NE
Mailing Address - Street 2:MANZANO HS
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-5804
Mailing Address - Country:US
Mailing Address - Phone:505-292-0090
Mailing Address - Fax:
Practice Address - Street 1:12200 LOMAS BLVD NE
Practice Address - Street 2:MANZANO HS
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-5804
Practice Address - Country:US
Practice Address - Phone:505-292-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI21411041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool