Individual
JULIE BOSACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11670 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369-7195
(763) 229-7633
Mailing address
11670 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369-7195
(763) 229-7633
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1558
MN
Other
Enumeration date
02/27/2014
Last updated
01/14/2025
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