Jeffrey S Bormaster, LCSW Valid NPI
Individual provider · Clinical Social Worker · Palm Springs, CA
- NPI
- 1295932804
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- LCS15130 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-06-27
- Last updated
- 2007-07-08
Practice location
2193 S Calle Palo Fierro
Palm Springs, CA 92264-9079
(760) 333-9056