LACEY BOURGOIN

RANDOLPH, ME
NPI1528467792
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2355S0801X Specialist/Technologist, Speech-Language Assistant
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: PA  BH001153)
Enumeration Date2014-08-14
Last Update Date2024-08-21
Business Address
LACEY BOURGOIN SLP-A
17 SCHOOL ST
RANDOLPH, ME 04346-5143
Phone number: 207-588-2699
Mailing Address
LACEY BOURGOIN SLP-A
17 SCHOOL ST
RANDOLPH, ME 04346-5143
Phone number: