Individual
KIMBERLY BOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
212 BARNEY DR, JOLIET, IL 60435-5272
(815) 927-5465
Mailing address
1906 MYSTIC DR, PLAINFIELD, IL 60586-5313
(630) 301-9995
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150103054
IL
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
About Stedi
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