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Individual

MRS. CELIA LOUISE BOURGEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. T.L.L.P.

Contact information

Practice address
2633 S LAPEER RD STE G, ORION, MI 48360-2810
(248) 270-5660
Mailing address
1891 OXFORD RD, GROSSE POINTE WOODS, MI 48236-1847
(313) 986-1899

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009665
MI
103TH0004X
Health Psychologist
6362009665
MI

Other

Enumeration date
02/21/2022
Last updated
10/01/2024
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