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Organization
PATRICK BOURSIQUOT LCSW INC
Active
Organization
PATRICK BOURSIQUOT LCSW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK BOURSIQUOT LCSW (PRESIDENT)
(561) 337-3647
Entity
Organization
Contact information
Practice address
951 SANSBURYS WAY, SUITE 206, WEST PALM BEACH, FL 33411-3619
(561) 337-3647
(561) 337-3648
Mailing address
951 SANSBURYS WAY, SUITE 206, WEST PALM BEACH, FL 33411-3619
(561) 337-3647
(561) 337-3648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW5848
FL
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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