Individual
JUSTINE BOONPERM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
926 S 8TH ST, MANITOWOC, WI 54220-4535
(920) 683-4251
Mailing address
926 S 8TH ST, MANITOWOC, WI 54220-4535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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