Most Relevant Information
Provider Data
| NPI Number: | 1003068099 |
| Provider Name: | LYDIA KAY BORG B.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/21/2008 |
| Last Updated: | 01/03/2022 |
Provider Practice Location
887 POTRERO AVE
L-UNIT
SAN FRANCISCO
CA
941102869
Practice Location Phone/Fax
| Phone: | 5103171444 |
| Fax: |
Provider Mailing Location
887 POTRERO AVE
L-UNIT
SAN FRANCISCO
CA
941102869
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |