Audrey Bourque, LICSW
NPI #1699277483 in Wilmington, Massachusetts
Provider Information
- NPI Number
- 1699277483
- Entity Type
- Individual
- Name
- Audrey Bourque, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Mar 7, 2018
- Last Updated
- Mar 7, 2018
Practice Location
- Address
- 34 CRESCENT ST
- City
- Wilmington
- State
- Massachusetts
- ZIP Code
- 01887-1957
- Phone
- (617) 306-3721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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