Individual
DEBRA M. BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1701 BURNT BOAT DR, SECOND FLOOR, BISMARCK, ND 58503-0812
(701) 323-0924
(701) 323-0935
Mailing address
309 N MANDAN ST, STE 1, BISMARCK, ND 58501-3886
(701) 323-0924
(701) 323-0935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1650
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18726
—
ND
01
—
BOS20308
BCBS OF NORTH DAKOTA
ND
Enumeration date
03/20/2007
Last updated
10/03/2018
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