Rebecca S Bourquine

NPI #1104927581 in Valdosta, Georgia

Provider Information

NPI Number
1104927581
Entity Type
Individual
Name
Rebecca S Bourquine
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Enumeration Date
Sep 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3120 N OAK STREET EXT
Address 2
SUITE B
State
Georgia
ZIP Code
31602-1007
Phone
(229) 333-5218

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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