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1518038116
GERI LYNN BOUGH
MISHAWAKA, IN
NPI
1518038116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34003576A)
Enumeration Date
2006-11-13
Last Update Date
2020-01-24
Business Address
Mrs. GERI LYNN BOUGH MSW
113 LINCOLN WAY EAST
MISHAWAKA, IN 46544-2016
Phone number: 574-255-4976
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Mailing Address
Mrs. GERI LYNN BOUGH MSW
113 LINCOLN WAY EAST
MISHAWAKA, IN 46544-2016
Phone number: 574-255-4976
Copy
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