Individual
VICTORIA BOURDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
108 PALMETTO PK BLVD, SUITE D, LEXINGTON, SC 29072-7968
(803) 724-7405
Mailing address
108 PALMETTO PK BLVD, SUITE D, LEXINGTON, SC 29072-7968
(803) 724-7405
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8768
SC
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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