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Individual

DR. RENEE BOUEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301002743
MI
103TS0200X
School Psychologist
Primary
CC-0C1790525433
MI

Other

Enumeration date
11/29/2014
Last updated
11/29/2014
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