Individual
WENDALYN BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16 JOHN RAMSEY RD, WIGGINS, MS 39577-9124
(601) 582-1908
Mailing address
16 JOHN RAMSEY RD, WIGGINS, MS 39577-9124
(601) 528-1908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C10412
MS
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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