Provider Demographics
NPI:1174880819
Name:RAWAN-BOROWY, LEYLA MARIE (MSW-LICSW)
Entity type:Individual
Prefix:MRS
First Name:LEYLA
Middle Name:MARIE
Last Name:RAWAN-BOROWY
Suffix:
Gender:F
Credentials:MSW-LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 UNION ST
Mailing Address - Street 2:SUITE 222
Mailing Address - City:WARCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608
Mailing Address - Country:US
Mailing Address - Phone:508-317-2323
Mailing Address - Fax:508-519-5619
Practice Address - Street 1:51 UNION STREET, SUIET 222
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1201
Practice Address - Country:US
Practice Address - Phone:774-239-4316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
MA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical