Individual
MICHELLE BOISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
444 MAIN ST, LA CROSSE, WI 54601-3261
(608) 769-6466
Mailing address
1308 HARVEST CIR, HOLMEN, WI 54636-8300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7360-125
NA
—
05
—
7360-125
—
WI
Enumeration date
10/29/2019
Last updated
09/11/2025
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