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1467985812
JENIFER BORDELON
LAFAYETTE, LA
NPI
1467985812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 1451)
Enumeration Date
2017-04-04
Last Update Date
2017-04-04
Business Address
-- JENIFER BORDELON LAC
106 HEYMANN BLVD
LAFAYETTE, LA 70503-2322
Phone number: 337-504-4279
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Mailing Address
-- JENIFER BORDELON LAC
106 HEYMANN BLVD
LAFAYETTE, LA 70503-2322
Phone number:
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