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Individual

LUCY L BOSCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
21907 64TH AVE W STE 200, MOUNTLAKE TERRACE, WA 98043-6200
(425) 640-7009
Mailing address
100 N HOWARD ST STE 100, SPOKANE, WA 99201-0508
(510) 457-6609

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61438997
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A5974
CSWA
OR
01
LW61438997
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
02/25/2020
Last updated
02/27/2024
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