Individual
CAROLYNN M BOURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75369 HIGHWAY 1083, COVINGTON, LA 70435-6569
(985) 630-6929
Mailing address
75369 HIGHWAY 1083, COVINGTON, LA 70435-6569
(985) 630-6929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7594
LA
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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