MRS. Anne M Bourque

NPI #1487987558 in West Gardiner, Maine

Provider Information

NPI Number: 1487987558
Entity Type: Individual
Name: MRS. Anne M Bourque
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 8, 2009
Last Updated: Sep 8, 2009

Practice Location

Address: 22 LEDGE HILL WAY
City: West Gardiner
State: Maine
ZIP Code: 04345-3135
Phone: (207) 582-3146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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