About
Kyle P. Bourque is a Social Worker in Fort Drum, New York. He has over 18 years of experience. Contact Kyle P. Bourque to request his Medicare information, payment methods he accepts, or to book an appointment.
Basic Data
Entity Type: Individual; Not Sole Proprietor
Gender
Male
Years in Practice
18 years
Healthcare Provider Taxonomy
- Code: 104100000X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Social Worker
Credentials
- Licensed Independent Social Worker (LISW)
Licenses
| Name | License Number | State |
|---|---|---|
| LISW | 04825 Verify | IA |
Practice Locations
Usa Meddac Attn: Credentials
11050 Mt Belvedere Blvd
Fort Drum, NY 13602-5004
Phone Number: (315) 772-4025
Fax Number: (315) 772-9498
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