Individual
KITZIA B BORDLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10310 THE GROVE BLVD, BATON ROUGE, LA 70836-6455
(225) 761-5200
Mailing address
3028 HUDSON PARK DR, BATON ROUGE, LA 70810-0447
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4753
LA
Other
Enumeration date
05/13/2020
Last updated
12/09/2020
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