Individual
KEVIN BOSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5267 GREENWICH RD, VIRGINIA BEACH, VA 23462-6028
(757) 529-0484
Mailing address
2008 SUNSET MAPLE LN, CHESAPEAKE, VA 23323-6359
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011379
VA
Other
Enumeration date
11/28/2019
Last updated
11/28/2023
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