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1265736730
KRISTEN LEANNE BOURQUE
FALL RIVER, MA
NPI
1265736730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI CSW01365)
Enumeration Date
2010-12-27
Last Update Date
2010-12-27
Business Address
Ms. KRISTEN LEANNE BOURQUE LCSW
22 FRONT ST
FALL RIVER, MA 02721-4302
Phone number: 508-676-1307
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Mailing Address
Ms. KRISTEN LEANNE BOURQUE LCSW
270 DOUGLAS RD
WARWICK, RI 02886-2785
Phone number: 401-826-6695
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