Individual
MS. KERRI LEE BORDELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
277 N SPRING CREEK PKWY, PROVIDENCE, UT 84332-9775
(435) 753-0253
Mailing address
1835 S 1395 W, LOGAN, UT 84321-6979
(214) 662-9691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11827522-3502
UT
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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