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Organization
JOHN BOZEDAY LCSW LTD
Active
Organization
JOHN BOZEDAY LCSW LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BOZEDAY LCSW (PRESIDENT)
(847) 251-0346
Entity
Organization
Contact information
Practice address
708 CHURCH ST STE 258, EVANSTON, IL 60201-3840
(847) 251-0346
Mailing address
235 RIDGE RD APT 4C, WILMETTE, IL 60091-3252
(847) 251-0346
(847) 251-0346
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149003005
IL
251S00000X
Community/Behavioral Health Agency
149003005
IL
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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