# CATHERINE L. BOURNE, MSW

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164967717
- **Authorized official:** MRS. CATHERINE LISA BOURNE MSW (SOLE PROPRIETOR)
- **Authorized official phone:** (727) 397-7974

## Contact information

- **Practice address:** 7170 125TH ST, SEMINOLE, FL 33772-5503
- **Practice address phone:** (727) 397-7974
- **Practice address fax:** (727) 397-7974
- **Mailing address:** 7170 125TH ST, SEMINOLE, FL 33772-5503
- **Mailing address phone:** (727) 397-7974
- **Mailing address fax:** (727) 397-7974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MT917 | FL | Yes |

## Other

- **Enumeration date:** 01/05/2017
- **Last updated:** 01/05/2017