MICHAEL R BOURBON

VERNON HILLS, IL
NPI1316012537
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149007084)
Enumeration Date2006-11-22
Last Update Date2007-07-08
Business Address
-- MICHAEL R BOURBON LCSW
977 LAKEVIEW PKWY # 155
VERNON HILLS, IL 60061-1400
Phone number: 847-918-0129
Mailing Address
-- MICHAEL R BOURBON LCSW
977 LAKEVIEW PKWY # 155
VERNON HILLS, IL 60061-1400
Phone number: 847-918-0129
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