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Cynthia Bourgeau, LCSW

Social Worker, Clinical in Klamath Falls, OR. Individual provider (NPI-1).

NPI number1366513616
StatusActive
Last updated in NPPESMay 23, 2013

Details

NPI
1366513616
Entity type
Individual (NPI-1)
Name
Cynthia Bourgeau
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 10, 2006
Last updated
May 23, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalL1874ORYes

Practice location

325 S 5th St
Klamath Falls, OR 97601-6107

Phone 541-882-7111 · Fax 541-882-7111

Mailing address

325 S 5th St
Klamath Falls, OR 97601-6107

Phone 541-882-7111 · Fax 541-882-7111

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