Individual
BRADFORD PAUL BORDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-3630
Mailing address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-3630
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7357-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WI
Enumeration date
11/17/2008
Last updated
02/10/2021
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