Individual
MRS. JERELYN F BOURDAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
151 VAN HOUTEN AVE, EL CAJON, CA 92020-4429
(619) 401-3800
Mailing address
151 VAN HOUTEN AVE, EL CAJON, CA 92020-4429
(619) 401-3800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
01/14/2009
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