Provider Demographics
NPI:1497880041
Name:BORGMAN, GAIL P (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:P
Last Name:BORGMAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:GORDON COLLEGE
Mailing Address - Street 2:GRAPEVINE RD
Mailing Address - City:WENHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01984
Mailing Address - Country:US
Mailing Address - Phone:978-867-4314
Mailing Address - Fax:978-546-5876
Practice Address - Street 1:GORDON COLLEGE
Practice Address - Street 2:GRAPEVINE RD
Practice Address - City:WENHAM
Practice Address - State:MA
Practice Address - Zip Code:01984
Practice Address - Country:US
Practice Address - Phone:978-867-4314
Practice Address - Fax:978-546-5876
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1010361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical