Individual
MRS. NANCY FOX BOURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
220 S MARKET ST, OPELOUSAS, LA 70570-5140
(337) 948-0226
Mailing address
220 S MARKET ST, OPELOUSAS, LA 70570-5140
(337) 948-0226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4259
LA
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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