Individual
LISA MARIE BOSCHMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2060 GRAND RIVER ANX STE 600, BRIGHTON, MI 48114-5312
(810) 220-8192
(810) 220-8192
Mailing address
2060 GRAND RIVER ANX STE 600, BRIGHTON, MI 48114-5312
(810) 220-8192
(810) 220-8192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801093710
MI
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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