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Organization
BOSWORTH THERAPY & CONSULTATION SERVICES INC
Active
Organization
BOSWORTH THERAPY & CONSULTATION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MATTHEW BOSWORTH (PRESIDENT)
(605) 343-7755
Entity
Organization
Contact information
Practice address
2650 JACKSON BLVD, RAPID CITY, SD 57702
(605) 343-7755
(605) 721-8896
Mailing address
3213 WEST MAIN STREET, # 215, RAPID CITY, SD 57702
(605) 343-7755
(605) 721-8896
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1590
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6570593
—
SD
Enumeration date
06/14/2006
Last updated
04/23/2015
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