Individual
STEPHANIE CHERYL BOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MCAP
Contact information
Practice address
580 ELLIS RD S, JACKSONVILLE, FL 32254-3582
(904) 423-0017
Mailing address
580 ELLIS RD S, JACKSONVILLE, FL 32254-3582
(904) 423-0017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ADC-010765-2015
FL
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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