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1790062875
JENNIFER BOURQUIN
BASTROP, TX
NPI
1790062875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 65653)
Enumeration Date
2011-11-03
Last Update Date
2011-11-03
Business Address
-- JENNIFER BOURQUIN LPC
717 CHESTNUT ST
BASTROP, TX 78602-3202
Phone number: 512-772-0775
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Mailing Address
-- JENNIFER BOURQUIN LPC
9017 LAUREL GROVE DR.
AUSTIN, TX 78758
Phone number: 512-612-2361
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