MIA BOISSEVAIN

WATERTOWN, NY
NPI1740026368
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2024-07-03
Last Update Date2024-08-28
Business Address
MIA BOISSEVAIN
650 STATE ST
WATERTOWN, NY 13601-2839
Phone number: 518-651-2302
Mailing Address
MIA BOISSEVAIN
21502 REDWOOD LN APT C
WATERTOWN, NY 13601-6259
Phone number: 207-423-1968