Individual
CYNTHIA BOURGEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
325 S 5TH ST, KLAMATH FALLS, OR 97601-6107
(541) 882-7111
(541) 882-7111
Mailing address
325 S 5TH ST, KLAMATH FALLS, OR 97601-6107
(541) 882-7111
(541) 882-7111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1874
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021872000
RBCBS
OR
Enumeration date
11/10/2006
Last updated
05/23/2013
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