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1326635327
KASEY M BOURKE
FORT WAYNE, IN
NPI
1326635327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34010557A)
Enumeration Date
2020-12-23
Last Update Date
2023-12-19
Business Address
KASEY M BOURKE MSW, LCSW
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804-1583
Phone number: 260-432-0066
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Mailing Address
KASEY M BOURKE MSW, LCSW
6202 CONSTITUTION DR STE D
FORT WAYNE, IN 46804-1583
Phone number: 260-432-0066
Copy
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