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Organization
CATHERINE L. BOURNE, MSW
Active
Organization
CATHERINE L. BOURNE, MSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE LISA BOURNE MSW (SOLE PROPRIETOR)
(727) 397-7974
Entity
Organization
Contact information
Practice address
7170 125TH ST, SEMINOLE, FL 33772-5503
(727) 397-7974
(727) 397-7974
Mailing address
7170 125TH ST, SEMINOLE, FL 33772-5503
(727) 397-7974
(727) 397-7974
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT917
FL
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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