Individual
MICHEL BORDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCSW
Contact information
Practice address
968 SUMMIT LN # 1042, ELLIJAY, GA 30540-8728
(404) 798-9799
Mailing address
968 SUMMIT LN # 1042, ELLIJAY, GA 30540-8728
(404) 798-9799
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006489
GA
Other
Enumeration date
04/16/2015
Last updated
09/20/2018
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