Individual
ANNA VICTORIA BORDELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, DCSW
Contact information
Practice address
886 VAQUERO ST, ALLEN, TX 75013-6138
(318) 759-5977
Mailing address
886 VAQUERO ST, ALLEN, TX 75013-6138
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
61934
TX
Other
Enumeration date
07/10/2021
Last updated
07/10/2021
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