Individual
MARK BOSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S. CADC
Contact information
Practice address
799 HOMBACH ST, SUITE 2, SAINT IGNACE, MI 49781-1735
(906) 643-0944
(906) 984-4400
Mailing address
97 S 4TH ST, SUITE C, ISHPEMING, MI 49849-2168
(906) 225-9699
(906) 228-0505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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