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1225156177
ILLENE RITA BOSLEY
HIGHLAND PARK, MI
NPI
1225156177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 104259)
Enumeration Date
2007-03-27
Last Update Date
2007-07-09
Business Address
Mrs. ILLENE RITA BOSLEY MS, CAC-I
13220 WOODWARD AVE
HIGHLAND PARK, MI 48203-3610
Phone number: 313-868-1946
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Mailing Address
Mrs. ILLENE RITA BOSLEY MS, CAC-I
150 STIMSON ST
DETROIT, MI 48201-2410
Phone number: 313-993-4700
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