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1053064923
TIMOTHY M BOSCH
LA CROSSE, WI
NPI
1053064923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 6915-125)
Enumeration Date
2022-02-01
Last Update Date
2022-02-01
Business Address
TIMOTHY M BOSCH LPC
3029 GLENDALE AVE
LA CROSSE, WI 54601-7485
Phone number: 641-891-9127
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Mailing Address
TIMOTHY M BOSCH LPC
3029 GLENDALE AVE
LA CROSSE, WI 54601-7485
Phone number: 641-891-9127
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