Individual
MRS. JANE ANN BARDOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
526 W 1ST ST, WINSTON SALEM, NC 27101-3736
(336) 750-0130
(336) 750-0073
Mailing address
6686 STYERS FERRY RD, CLEMMONS, NC 27012-8074
(336) 750-0130
(336) 750-0073
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7761
NC
Other
Enumeration date
07/29/2010
Last updated
12/07/2014
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