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Individual

MRS. LISA M. BORDELON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC/SLP

Contact information

Practice address
100 E. BLUEBIRD DRIVE, LAFAYETTE, LA 70508
(337) 521-7970
Mailing address
114 SUMMER MORNING CT, LAFAYETTE, LA 70508-7211
(337) 322-1329

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5005
LA

Other

Enumeration date
09/14/2021
Last updated
09/14/2021
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