Provider Demographics
NPI:1760671275
Name:BORDEN, EUCHARIA DEVARONA (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:EUCHARIA
Middle Name:DEVARONA
Last Name:BORDEN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 CHESTNUT ST
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4123
Mailing Address - Country:US
Mailing Address - Phone:215-563-0663
Mailing Address - Fax:215-563-0664
Practice Address - Street 1:1201 CHESTNUT ST
Practice Address - Street 2:FLOOR 2
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4123
Practice Address - Country:US
Practice Address - Phone:215-563-0663
Practice Address - Fax:215-563-0664
Is Sole Proprietor?:No
Enumeration Date:2007-10-20
Last Update Date:2007-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0157701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical