Individual
MRS. BRENDA LEE BOETTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCMT
Contact information
Practice address
517 E CLAIREMONT AVE, EAU CLAIRE, WI 54701-6479
(715) 855-0408
Mailing address
3821 BOARDWALK ST., #3, EAU CLAIRE, WI 54701-9403
(715) 514-1339
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2271-046
WI
Other
Enumeration date
10/26/2006
Last updated
09/29/2008
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