Individual
MR. BRENDAN STEPHEN BOURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4437 FOOTHILLS DR, BERTHOUD, CO 80513-7948
(907) 599-1639
Mailing address
4437 FOOTHILLS DR, BERTHOUD, CO 80513-7948
(970) 599-1639
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09927422
CO
Other
Enumeration date
10/08/2008
Last updated
09/28/2021
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