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Individual

RICHARD JAY BOSSCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
520 SUPERIOR ST, PORT HURON, MI 48060-3838
(810) 984-4202
(810) 984-8896
Mailing address
520 SUPERIOR STREET, PORT HURON, MI 48060
(810) 984-4202
(810) 984-8896

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
68010011244
MI

Other

Enumeration date
08/10/2006
Last updated
07/08/2007
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