Mr. Kyle P Bourque, LISW
Mr. Kyle P Bourque, LISW is a Social Worker in Fort Drum, New York. Licensed in Iowa. Registered with an NPI since 2005.
- Licensed in
- IA
- In the registry since
- 2005
What do these letters mean?
- LISW — Licensed Independent Social Worker
- A social worker licensed to practise independently.
Practice location Partly verified
USA Meddac Attn: Credentials 11050 Mt Belvedere BlvdFort Drum, NY 13602-5004
Phone: (315) 772-4025
Fax: (315) 772-9498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 04825 (IA) |
|---|
Record details
| NPI number | 1124018650 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LISW |
| Sole proprietor | No |
| NPI enumerated | October 26, 2005 |
| Last updated in NPPES | January 24, 2022 |
| Certification date | January 18, 2022 |
| Mailing address | Usa Meddac, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 |
Other providers in Fort Drum
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Matthew Marcos Bacca, LSW
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Dianna L Bennett, LMSW
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Bessie L Brown
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Mrs. Jacqueline L Bucci, MSSW
USA Meddac 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5004 · (315) 772-4025
-
MS. Doreen Hendrie Crumpton
11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 · (315) 772-9684
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Mary M. Davis, LCSW
11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 · (315) 774-2427