Jesselyn Bourque
NPI #1386971422 in Manistique, Michigan
Provider Information
- NPI Number
- 1386971422
- Entity Type
- Individual
- Name
- Jesselyn Bourque
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Enumeration Date
- Nov 11, 2009
- Last Updated
- Nov 11, 2009
Practice Location
- Address
- 125 N LAKE ST
- City
- Manistique
- State
- Michigan
- ZIP Code
- 49854-1234
- Phone
- (906) 341-2144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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