MS. Terri Lynne Bourgeois

NPI #1194908327 in Santa Monica, California

Provider Information

NPI Number: 1194908327
Entity Type: Individual
Name: MS. Terri Lynne Bourgeois
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Enumeration Date: Dec 11, 2007
Last Updated: Dec 11, 2007

Practice Location

Address: 1725 MAIN STREET
City: Santa Monica
State: California
ZIP Code: 90401
Phone: (310) 260-3583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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