Organization
I CATRENA BOSWELL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATRENA BOSWELL LCSW (THERAPIST)
(817) 385-1529
Entity
Organization
Contact information
Practice address
4200 S HULEN ST STE 682, FORT WORTH, TX 76109-7905
(817) 385-1529
Mailing address
4200 S HULEN ST STE 682, FORT WORTH, TX 76109-7905
(817) 385-1529
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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