Individual
MRS. ANDREA MARIE BOSWELL-BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
24750 SWANSON RD, SOUTHFIELD, MI 48033-5320
(248) 355-5800
Mailing address
1250 ASTOR AVE, APT. 1922, ANN ARBOR, MI 48104-6194
(816) 286-9897
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
09136
MI
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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