Kisha Bardonille is a Clinical in Durham, North Carolina. Kisha Bardonille practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kisha Bardonille is 1699935833. The last update date is 2008-06-11.
Kisha Bardonille's current location address is 3308 Durham Chapel Hill Blvd, Durham, North Carolina. You can contact this provider via phone number 9194020323 and fax number 9194029435. The mailing address for Kisha Bardonille is 3308 Durham Chapel Hill Blvd, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kisha Bardonille |
|---|---|
| Address | 3308 Durham Chapel Hill Blvd, Durham, North Carolina |
| Phone Number | 9194020323 |
| Fax Number | 9194029435 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1699935833 |
|---|---|
| Provider Enumeration Date | 2008-06-11 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 3308 Durham Chapel Hill Blvd |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277072694 |
| Phone Number | 9194020323 |
| Fax Number | 9194029435 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C005817 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the Kisha Bardonille's unique identification number?
The Kisha Bardonille has been assigned the NPI (National Provider Identifier) Number 1699935833 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Kisha Bardonille's facilities are situated?
The facilities of Kisha Bardonille are physically located at the following address: 3308 Durham Chapel Hill Blvd, Durham, NC, 277072694.
What is the Kisha Bardonille's specialty and taxonomy code?
The Kisha Bardonille's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699935833 to Kisha Bardonille?
The Centers for Medicare & Medicaid Services originally issued the 1699935833 to Kisha Bardonille on 2008-06-11.
As of what date were the details pertaining to Kisha Bardonille last refreshed?
The information related to the Kisha Bardonille, including its address, specialty, and other relevant details, was last updated on 2008-06-11.
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