Andrea Marie Bousquet LBSW

NPI 1760748685 - Social Worker - 104100000X

NPI Details
NPI 1760748685
Gender Female
Enumeration Date 04/04/2012
Last Updated 04/04/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
8625 KING GEORGE DR
#111
DALLAS TX, 75235-2215, US
Phone (214) 631-7002
Fax
Business Location
250 E HWY 67
#5101
DUNCANVILLE TX, 75137, US
Phone
Fax
Toxanomy
Taxonomy Code 104100000X
License State Texas
License Number 54975
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According to our database, Ms. Andrea Marie Bousquet LBSW NPI is 1760748685, taxonomy code is 104100000X and license number is 54975, license state is located at Texas. Andrea Marie Bousquet LBSW physically located at 8625 King George Dr, Dallas TX, 75235-2215. NPI Number Andrea Marie Bousquet LBSW has the Individual type.

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1760748685 NPI number is provided on an as is basis without warranty of any kind. 1760748685 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Marie Bousquet LBSW are for informational purposes only.