Individual
OLIN TATE BOSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
25 KESSEL CT, MADISON, WI 53711-6227
(608) 280-2700
Mailing address
37 KESSEL CT, MADISON, WI 53711-6233
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1429-124
WI
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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