ANDREW RUSSELL BORDEAUX

WEST BEND, WI
NPI1801142732
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  3708-154)
Enumeration Date2012-07-30
Last Update Date2019-12-20
Business Address
ANDREW RUSSELL BORDEAUX M.S., CCC-SLP
1624 BARTON AVE
WEST BEND, WI 53090
Phone number: 414-368-0449
Mailing Address
ANDREW RUSSELL BORDEAUX M.S., CCC-SLP
PO BOX 504
GERMANTOWN, WI 53022-0504
Phone number: 414-617-2696
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