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1538305941
JO ELLEN M BOURG
DURANGO, CO
NPI
1538305941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0113601)
Enumeration Date
2009-01-06
Last Update Date
2018-12-03
Business Address
JO ELLEN M BOURG LMHC
1911 MAIN AVE STE 234
DURANGO, CO 81301-5077
Phone number: 985-665-8452
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Mailing Address
JO ELLEN M BOURG LMHC
190 W 25TH ST
DURANGO, CO 81301-5908
Phone number: 985-665-8452
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