Individual
DR. ALAN ACHILLE BOUGERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1914 FULLER ST, HATTIESBURG, MS 39401-7544
(601) 266-6119
(601) 266-4167
Mailing address
1914 FULLER ST, HATTIESBURG, MS 39401-7544
(601) 266-6119
(601) 266-4167
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C2590
MS
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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