Individual
MORGAN BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3152 PEREGRINE DR NE, GRAND RAPIDS, MI 49525-9723
(616) 643-0833
Mailing address
193 W 22ND ST, HOLLAND, MI 49423-4770
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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