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Organization
LEIGH BOSTIC LLC
Active
Organization
LEIGH BOSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH BOSTIC (SOLE MEMBER)
(864) 298-8026
Entity
Organization
Contact information
Practice address
110 MANLY ST, GREENVILLE, SC 29601-3025
(864) 298-8026
(864) 298-8032
Mailing address
706 S ALMOND DR, SIMPSONVILLE, SC 29681-3347
(864) 430-0475
(864) 298-8032
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5459
SC
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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