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1205000494
MICHAEL EDWARD BOEHM
LA CROSSE, WI
NPI
1205000494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 3451-125)
Enumeration Date
2008-04-17
Last Update Date
2008-04-17
Business Address
-- MICHAEL EDWARD BOEHM LPC
1707 MAIN ST
LA CROSSE, WI 54601-4200
Phone number: 608-785-0001
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Mailing Address
-- MICHAEL EDWARD BOEHM LPC
66 E 3RD ST 201
WINONA, MN 55987-3478
Phone number: 507-452-7292
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