FRED A BOSWELL

MILWAUKEE, WI
NPI1366720484
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  11950-132)
Enumeration Date2011-07-22
Last Update Date2014-04-30
Business Address
-- FRED A BOSWELL CSAC, ICS
3707 N RICHARDS ST
MILWAUKEE, WI 53212-1673
Phone number: 414-967-7006
Mailing Address
-- FRED A BOSWELL CSAC, ICS
3707 N RICHARDS ST
MILWAUKEE, WI 53212-1673
Phone number: 414-967-7006
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