Individual
MS. CYNDY BOURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN/PMH
Contact information
Practice address
114 W WATER ST STE A, CENTREVILLE, MD 21617-1060
(410) 758-3008
(410) 758-3008
Mailing address
114A WEST WATER STREET, CENTREVILLE, MD 21617
(410) 758-3008
(410) 758-3008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MD#R175635
MD
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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