Provider Demographics
NPI:1003809013
Name:BORDELEAU, FRANCE (LISW)
Entity Type:Individual
Prefix:
First Name:FRANCE
Middle Name:
Last Name:BORDELEAU
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10801 LOMAS BLVD NE
Mailing Address - Street 2:STE. #104
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-5401
Mailing Address - Country:US
Mailing Address - Phone:505-710-8423
Mailing Address - Fax:505-822-1189
Practice Address - Street 1:10801 LOMAS BLVD NE
Practice Address - Street 2:STE. #104
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-5401
Practice Address - Country:US
Practice Address - Phone:505-710-8423
Practice Address - Fax:505-822-1189
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMX-051821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical