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Individual

MONIQUE VAN BOSTIC

Active
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Individual

MONIQUE VAN BOSTIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
44SC05554900
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05554900
NJ
1041C0700X
Clinical Social Worker
CSW007095
GA

Other

Enumeration date
12/27/2017
Last updated
10/20/2020
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