Individual
DALE BOSTWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
108 W WASHINGTON ST, SUITE 204, MIDDLEBURG, VA 20117
(703) 975-9713
Mailing address
43368 WAYFARER SQ, CHANTILLY, VA 20152-2059
(703) 975-9713
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0803000252
VA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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