MR. KYLE BOURQUE, LISW
Social Worker
Active
Individual
NPI: 1124018650
Practice Address
USA MEDDAC ATTN: CREDENTIALS11050 MT BELVEDERE BLVD
Fort Drum, NY 13602
Phone: (315) 772-4025
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | Yes | 04825 (IA) |
Frequently Asked Questions
NPI 1124018650 is the National Provider Identifier for MR. KYLE BOURQUE, LISW, a Social Worker provider located in Fort Drum, NY. This NPI was enumerated on October 26, 2005.
MR. KYLE BOURQUE, LISW practices at USA MEDDAC ATTN: CREDENTIALS, 11050 MT BELVEDERE BLVD, Fort Drum, NY 13602.
Quick Facts
- NPI
- 1124018650
- Type
- Individual
- Enumerated
- Oct 26, 2005
- Last Updated
- Jan 24, 2022
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