MR. David T. Boustead, MSW, LCSW
NPI #1972673564 in Rhinelander, Wisconsin
Provider Information
- NPI Number
- 1972673564
- Entity Type
- Individual
- Name
- MR. David T. Boustead, MSW, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LCSW
- Enumeration Date
- Nov 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 705 E TIMBER DR
- City
- Rhinelander
- State
- Wisconsin
- ZIP Code
- 54501-2859
- Phone
- (715) 362-7463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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