Individual
JENNIFER LYNN BOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 234-2006
Mailing address
4947 MARLANE DR, SOUTHINGTON, OH 44470-9526
(440) 799-5535
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1100510
OH
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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