Individual
KATHLEEN BORDELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7801 W 75TH ST, BRIDGEVIEW, IL 60455-1288
(708) 496-8722
Mailing address
7801 W 75TH ST, BRIDGEVIEW, IL 60455-1288
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1867133
IL
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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