CANDACE BROOKE BOURQUE

SHREVEPORT, LA
NPI1952017568
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-01-26
Last Update Date2023-01-26
Business Address
CANDACE BROOKE BOURQUE
3821 SOUTHERN AVE
SHREVEPORT, LA 71106-1033
Phone number: 318-946-8157
Mailing Address
CANDACE BROOKE BOURQUE
3821 SOUTHERN AVE
SHREVEPORT, LA 71106-1033
Phone number: 318-946-8157
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