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KYLE BOURQUE, LISW
LISW
Social Worker
NPI: 1124018650Individual
Specialties, Licenses & Credentials
Social WorkerPrimary
Social Worker
Code: 104100000X
04825(IA)
Contact & Hours
- Address
- USA MEDDAC ATTN: CREDENTIALS, 11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602 - Phone
- (315) 772-4025
Quick Facts
- NPI
- 1124018650
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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