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Individual
YVELANDE BOURSIQUOT
Active
Individual
YVELANDE BOURSIQUOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
223293
MA
101YM0800X
Mental Health Counselor
ISW03309
RI
104100000X
Social Worker
223293
MA
104100000X
Social Worker
ISW03309
RI
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
08/22/2025
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