Individual
MRS. KRISTY PERRETTI BORDEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 646-4140
Mailing address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 646-4140
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11120
SC
104100000X
Social Worker
Primary
ISW8096
FL
Other
Enumeration date
01/20/2015
Last updated
04/05/2015
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