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Individual

ELLEN BOSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
755 S TELSHOR BLVD STE Q102, LAS CRUCES, NM 88011-4681
(575) 635-5379
Mailing address
2058 CORTABELLA, LAS CRUCES, NM 88005-8234
(575) 635-5379

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
05/05/2021
Last updated
05/05/2021
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