KRYSTAL BOURGEOIS

MILWAUKEE, WI
NPI1982154779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16764-130)
Enumeration Date2016-10-05
Last Update Date2017-02-16
Business Address
Ms. KRYSTAL BOURGEOIS BSW, SAC-IT
2677 N 40TH ST
MILWAUKEE, WI 53210-2505
Phone number: 414-447-1965
Mailing Address
Ms. KRYSTAL BOURGEOIS BSW, SAC-IT
8801 W OKLAHOMA AVE APT 210
MILWAUKEE, WI 53227-4571
Phone number: 414-552-9244
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