Individual
ANDREW RUSSELL BORDEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
1624 BARTON AVE, WEST BEND, WI 53090
(414) 368-0449
Mailing address
PO BOX 504, GERMANTOWN, WI 53022-0504
(414) 617-2696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3708-154
WI
Other
Enumeration date
07/30/2012
Last updated
12/20/2019
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