YVELANDE BOURSIQUOT

BROCKTON, MA
NPI1851858401
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies104100000X Social Worker
(Licence: RI  ISW03309)
101YM0800X Counselor, Mental Health
(Licence: RI  ISW03309)
101YM0800X Counselor, Mental Health
(Licence: MA  223293)
104100000X Social Worker
(Licence: MA  223293)
Enumeration Date2019-03-01
Last Update Date2025-08-22
Business Address
YVELANDE BOURSIQUOT LICSW
37 BELMONT ST STE 203
BROCKTON, MA 02301-5289
Phone number: 774-381-9648
Mailing Address
YVELANDE BOURSIQUOT LICSW
37 PARKVIEW LN
BROCKTON, MA 02302-1960
Phone number: 857-247-2272