SHELLY BOURQUIN, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1689108250
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | No | 130442 (WI) |
| Social Worker - Clinical | 1041C0700X | Yes | 9229 (WI) |
Frequently Asked Questions
NPI 1689108250 is the National Provider Identifier for SHELLY BOURQUIN, LCSW, a Social Worker - Clinical provider located in Waukesha, WI. This NPI was enumerated on April 20, 2017.
SHELLY BOURQUIN, LCSW practices at 514 RIVERVIEW AVE, Waukesha, WI 53188.
Quick Facts
- NPI
- 1689108250
- Type
- Individual
- Enumerated
- Apr 20, 2017
- Last Updated
- May 21, 2025
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