Individual
SUSAN ELISABETH BORDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 ATWOOD DR, NORTHAMPTON, MA 01060-4266
(413) 773-1000
(413) 774-1776
Mailing address
75 SOUTH ST TRLR 25, BERNARDSTON, MA 01337-9494
(208) 850-6377
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2331124
MA
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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