Individual
MRS. ILENE CRYSLER BOSSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1313 LYNDON LN, SUITE 101, LOUISVILLE, KY 40222-7351
(502) 552-7319
Mailing address
1313 LYNDON LN, SUITE 101, LOUISVILLE, KY 40222-7351
(502) 552-7319
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0808
KY
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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