Individual
MELISSA BOURGOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
715 RIVERWOOD DR, PEMBROKE, NH 03275-3701
(603) 225-2715
Mailing address
806 N MAIN ST, LACONIA, NH 03246-2603
(603) 524-9090
(603) 524-1497
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0736
NH
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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