Individual
MS. EXA BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2995 E GRAND BLVD, DETROIT, MI 48202-3133
(313) 758-0150
Mailing address
20042 ARDMORE ST, DETROIT, MI 48235-1505
(313) 740-8468
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MI
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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