Individual
MS. EMILY BOSWORTH CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
265 BEACH ST, REVERE, MA 02151-3131
(617) 912-7536
Mailing address
265 BEACH ST, REVERE, MA 02151-3131
(617) 912-7536
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113227
MA
Other
Enumeration date
08/30/2006
Last updated
10/30/2007
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