Individual
ELENA LEE BOURGOING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(188) 879-3350
(860) 793-4440
Mailing address
185 PINE ST, APT 909, MANCHESTER, CT 06040-5884
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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