Individual
MEGAN FRADY-BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
27124 HIGHWAY 42, SPRINGFIELD, LA 70462-7979
(225) 395-8022
(225) 395-8023
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-3411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12420
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2355813
—
LA
Enumeration date
03/04/2014
Last updated
09/19/2018
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