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1609693050
NICOLE BOURGOYNE
DULUTH, MN
NPI
1609693050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 32463)
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
NICOLE BOURGOYNE LGSW
4325 GRAND AVE
DULUTH, MN 55807-2730
Phone number: 218-722-1497
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Mailing Address
NICOLE BOURGOYNE LGSW
2222 E 5TH ST
SUPERIOR, WI 54880-3709
Phone number: 715-392-1955
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