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Organization
ELIZABETH BOSHOVEN LLC
Active
Organization
ELIZABETH BOSHOVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ANNE BOSHOVEN LLC (OWNER)
(616) 309-4553
Entity
Organization
Contact information
Practice address
4403 CASCADE ROAD SE, SUITE 7, GRAND RAPIDS, MI 49546
(616) 309-4553
(616) 469-1078
Mailing address
4403 CASCADE ROAD SE, SUITE 7, GRAND RAPIDS, MI 49546
(616) 309-4553
(616) 469-1078
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801081555
MI
Other
Enumeration date
05/12/2014
Last updated
04/01/2019
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