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1427380906
LORI MARIE BOUSHON
LA CROSSE, WI
NPI
1427380906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WI 9893-120)
Enumeration Date
2010-02-08
Last Update Date
2010-02-08
Business Address
-- LORI MARIE BOUSHON CSW
1407 SAINT ANDREW ST STE 100
LA CROSSE, WI 54603-2378
Phone number: 608-785-6266
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Mailing Address
-- LORI MARIE BOUSHON CSW
W3002 WILDWOOD RD
GRANTON, WI 54436-9278
Phone number: 715-937-0773
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