John Bourque, L.B.S.W.

Social Worker · Wayne, MI

Individual Active NPI

NPI number 1477941011

Practice location

35000 Van Born Rd
Wayne, MI 48184-2458
Phone
(734) 722-1000
Fax
(734) 722-0368

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NPI record

NPI
1477941011
Entity type
Individual (Type 1)
Enumeration date
January 6, 2015
Last updated
January 6, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X 6802060309 MI

Mailing address

34807 Phyllis St
Wayne, MI 48184-2422
Phone
(734) 722-1000
Fax
(734) 722-0368

About John Bourque

John Bourque, L.B.S.W. is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 35000 Van Born Rd, Wayne, MI 48184-2458. The NPI number 1477941011 was assigned on January 6, 2015 and the record was last updated on January 6, 2015.

John Bourque lists a license in the registry: #6802060309 (MI) for Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Bourque, L.B.S.W.?

The NPI number is 1477941011.

What is the phone number of John Bourque?

The phone number listed for the practice location is (734) 722-1000.

Where is John Bourque located?

35000 Van Born Rd, Wayne, MI 48184-2458.

What is the taxonomy code for John Bourque?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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