Individual
MRS. JEANNIE ANN BOSLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6007 ST MORITZ DR APT H, WHITEFISH, MT 59937-3284
(406) 730-1235
Mailing address
6007 ST MORITZ DR APT H, WHITEFISH, MT 59937-3284
(406) 730-1235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
179
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0502814
—
MT
01
—
70660
BLUE CROSS-SHIELD OF MT
MT
Enumeration date
12/08/2006
Last updated
12/26/2016
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