Individual
MR. EDMUND B BOZESKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACSW-LCSW
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 919-4700
(314) 968-2375
Mailing address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 919-4700
(314) 968-2375
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW002749
MO
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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