Individual
MS. KEELA A. BOURGOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD, PPD, CBE, CMT
Contact information
Practice address
14 LEMON ST, UNIT 1, SALEM, MA 01970-3941
(914) 433-5003
Mailing address
PO BOX 8265, SALEM, MA 01971-8265
(914) 433-5003
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/01/2013
Last updated
03/08/2013
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