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Individual

MRS. SANDRA D BOUMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
414 W MORELAND BLVD, SUITE #205 FAMILY SERVICE OF WAUKESHA, WAUKESHA, WI 53188
(262) 547-5567
(262) 547-1608
Mailing address
414 W MORELAND BLVD, SUITE #205 FAMILY SERVICE OF WAUKESHA, WAUKESHA, WI 53188
(262) 547-5567
(262) 547-1608

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1962123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39509400
WI
Enumeration date
10/10/2006
Last updated
07/08/2007
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