MARY LOU BOURQUE

SAINT LOUIS, MO
NPI1750380515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MO  000493)
Enumeration Date2005-07-14
Last Update Date2007-07-12
Business Address
-- MARY LOU BOURQUE LPC
763 S NEW BALLAS RD SUITE 110
SAINT LOUIS, MO 63141-8704
Phone number: 314-569-1717
Mailing Address
-- MARY LOU BOURQUE LPC
5000 CEDAR PLAZA PARKWAY STE 350
SAINT LOUIS, MO 63128-3441
Phone number: 314-843-4333
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