Individual
MS. NIKKI O. BORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1110 AUDUBON AVE APT 13, THIBODAUX, LA 70301-4950
(985) 209-9167
Mailing address
1110 AUDUBON AVE APT 13, THIBODAUX, LA 70301-4950
(985) 209-9167
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5278
LA
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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