Individual
MR. DAVID T. BOUSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
705 E TIMBER DR, RHINELANDER, WI 54501-2859
(715) 362-7463
(715) 369-4577
Mailing address
PO BOX 897, RHINELANDER, WI 54501-0897
(715) 362-7463
(715) 369-4577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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