Individual
LAURETTE MARY BORDELEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1067 E TABERNACLE ST, ST GEORGE, UT 84770-3163
(801) 255-5131
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13713179-3502
UT
Other
Enumeration date
12/12/2023
Last updated
03/18/2024
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