Individual
MISS MARKIETA JOYCE BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
36185 GRAND RIVER AVE, FARMINGTON, MI 48335-3044
(248) 778-7573
(248) 991-9533
Mailing address
8742 CUMBRIA CT, FORT WASHINGTON, MD 20744-7164
(248) 210-8380
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401019588
MI
Other
Enumeration date
04/18/2008
Last updated
08/03/2021
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