Individual
KIMBERLY SUE BOULIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
301 S CRAPO ST, MOUNT PLEASANT, MI 48858-2941
(989) 775-6378
(989) 775-7701
Mailing address
301 S CRAPO ST, MOUNT PLEASANT, MI 48858-2941
(989) 775-6378
(989) 775-7701
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007503
MI
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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