| Catherine L. Bourne, Msw | |
|
7170 125th St Seminole FL 33772-5503 | |
| (727) 397-7974 | |
| (727) 397-7974 |
| Full Name | Catherine L. Bourne, Msw |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7170 125th St, Seminole, Florida |
| Authorized Official Name and Position | Catherine Lisa Bourne (SOLE PROPRIETOR) |
| Authorized Official Contact | 7273977974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine L. Bourne, Msw 7170 125th St Seminole FL 33772-5503 Ph: (727) 397-7974 | Catherine L. Bourne, Msw 7170 125th St Seminole FL 33772-5503 Ph: (727) 397-7974 |
| NPI Number | 1164967717 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 01/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164967717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT917 (Florida) | Primary |
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