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NPI Code Detail

MEDICARE: FRANCE BORDELEAU L.C.S.W.

MEDICARE: FRANCE BORDELEAU L.C.S.W.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC-06163NM

General Provider Information

NPI Number : 1003809013
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCE BORDELEAU L.C.S.W.
Provider Business Mailing Address
First Line : 10405 CASADOR DEL OSO NE STE 104
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-3772
Country : US
Telephone Number : 505-710-8423
Fax Number :
Provider Business Practice Location Address
First Line : 610 GOLD AVE SW STE 102
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-3187
Country : US
Telephone Number : 505-710-8423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 12/27/2024

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Directions to “ FRANCE BORDELEAU L.C.S.W.” Practice Location

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