Individual
CARSYN ROSE BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 MAIN ST, WAYNE, NE 68787-1181
(402) 375-7321
Mailing address
5414 OLD CAVERN HWY, CARLSBAD, NM 88220-9176
(208) 360-1494
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
513906498
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
513906498
NM
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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