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Individual
MS. WINSTON BOURNE
Active
Individual
MS. WINSTON BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008093
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401008093
STATE LICENSE NUMBER
MI
Enumeration date
09/20/2006
Last updated
08/26/2024
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