Individual
CAROL SUE BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4212 N PERSHING AVE, #A1, STOCKTON, CA 95207-6952
(209) 957-3900
(209) 672-9440
Mailing address
924 TWIN OAKS DR, TRACY, CA 95377-8749
(209) 830-7049
(209) 830-7049
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15402
CA
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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