TATUM BOURGEOIS, PPC
Counselor - Professional
Active
Individual
NPI: 1326756669
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | PPC-1353 (WY) |
Frequently Asked Questions
NPI 1326756669 is the National Provider Identifier for TATUM BOURGEOIS, PPC, a Counselor - Professional provider located in Gillette, WY. This NPI was enumerated on November 7, 2022.
TATUM BOURGEOIS, PPC practices at 345 SINCLAIR ST, Gillette, WY 82718.
Quick Facts
- NPI
- 1326756669
- Type
- Individual
- Enumerated
- Nov 7, 2022
- Last Updated
- Nov 7, 2022
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