Individual
MS. JESSICA BOZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
67B W KAGY BLVD, BOZEMAN, MT 59715-6072
(406) 763-1833
Mailing address
368 GREENWAY CT, BOZEMAN, MT 59718-1839
(631) 561-3831
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
76
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-76
MT
Other
Enumeration date
10/22/2015
Last updated
04/05/2024
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