Individual
IAN BRIAN BOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2802 COHO ST STE 203, MADISON, WI 53713-4521
(608) 291-7033
Mailing address
5909 SHARPSBURG DR APT 631, MADISON, WI 53718-3053
(262) 424-6421
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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