Individual
MONIKA MOROZ-BOURQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
333 LINCOLN ST STE 217, SACO, ME 04072-3113
(207) 632-5152
Mailing address
47 GRANDVIEW DR, WESTBROOK, ME 04092-3682
(207) 632-5152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4309
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266390099
—
ME
Enumeration date
08/17/2006
Last updated
04/20/2020
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