Individual
KAITLYN BOEHMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 E MAUMEE ST STE 3, ADRIAN, MI 49221-2735
(517) 263-5810
Mailing address
927 VINE ST, ADRIAN, MI 49221-3245
(248) 872-3142
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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