Individual
STEVEN K BORDELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8017 JEFFERSON HWY, SUITE B-4, BATON ROUGE, LA 70809-1681
(225) 932-0052
(225) 932-0053
Mailing address
8017 JEFFERSON HWY, SUITE B-4, BATON ROUGE, LA 70809-1681
(225) 932-0052
(225) 932-0053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3238
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72-1427612
FEDERAL ID #
—
01
—
F3519
BLUE CROSS PROVIDER #
LA
Enumeration date
01/12/2007
Last updated
03/10/2023
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