Individual
HEATHER BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 W 5TH ST, CROWLEY, LA 70526-4332
(337) 788-2300
(888) 214-8710
Mailing address
PO BOX 2206, CROWLEY, LA 70527-2206
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7175
LA
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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