| Ms Carolyn Jo Bourg, LCSW-BCD | |
|
3005 Avenue H, Nederland, TX 77627-7607 | |
| (409) 724-1920 | |
| Not Available |
| Full Name | Ms Carolyn Jo Bourg |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3005 Avenue H, Nederland, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962507293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11947 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carolyn Jo Bourg, LCSW-BCD 3005 Avenue H, Nederland, TX 77627-7607 Ph: (409) 724-1920 | Ms Carolyn Jo Bourg, LCSW-BCD 3005 Avenue H, Nederland, TX 77627-7607 Ph: (409) 724-1920 |
Mrs. Deborah Delores Tomplait, LCSW-BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3005 Avenue H, Nederland, TX 77627 Phone: 409-724-1920 Fax: 409-724-1102 | |
Ms. Glenna Francene Hudgins, LCSW-BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3005 Avenue H, Nederland, TX 77627 Phone: 409-724-1920 |