Carolyn Margaret Bourgois, MA/CNA/

NPI #1316520174 in Fort Gratiot, Michigan

Provider Information

NPI Number: 1316520174
Entity Type: Individual
Name: Carolyn Margaret Bourgois, MA/CNA/
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: MA/CNA/
Enumeration Date: Apr 29, 2021
Last Updated: Apr 29, 2021

Practice Location

Address: 3245 KEEWAHDIN RD
City: Fort Gratiot
State: Michigan
ZIP Code: 48059-3498
Phone: (810) 937-2345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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