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1669619714
ELLEN ANN BOURNE
CLEARLAKE, CA
NPI
1669619714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-01-12
Last Update Date
2011-05-19
Business Address
Ms. ELLEN ANN BOURNE MSW
7000 S CENTER DR B
CLEARLAKE, CA 95422-8131
Phone number: 707-994-7090
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Mailing Address
Ms. ELLEN ANN BOURNE MSW
7000 S CENTER DR B
CLEARLAKE, CA 95422-8131
Phone number: 707-994-7090
Copy
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