COTY BOURQUE

VICKSBURG, MS
NPI1356850960
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-09-26
Last Update Date2025-05-13
Business Address
COTY BOURQUE LCSW
1911 MISSION 66 STE B
VICKSBURG, MS 39180-3762
Phone number: 337-519-7797
Mailing Address
COTY BOURQUE LCSW
1413 WILLOW ST
NEW IBERIA, LA 70560-1066
Phone number: 337-519-7797
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