Individual
KARA BORDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
823 SHERIDAN LN, WATERLOO, IL 62298-3366
(618) 616-4535
Mailing address
823 SHERIDAN LN, WATERLOO, IL 62298-3366
(618) 616-4535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180013329
—
Other
Enumeration date
02/03/2016
Last updated
03/16/2023
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