Individual
GLEN BOUSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2090 RIVER AVE, LONG BEACH, CA 90810-3621
(562) 826-8474
Mailing address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8474
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/15/2006
Last updated
07/11/2007
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