Organization
COVENTURES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOUDRIE LMSW, LPC (CO-OWNER)
74347707573
Entity
Organization
Contact information
Practice address
986 S TELEGRAPH RD, MONROE, MI 48161-4097
(734) 770-7573
Mailing address
4328 COUSINO, LA SALLE, MI 48145-9623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801035097
MI
Other
Enumeration date
05/17/2007
Last updated
01/13/2015
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