Individual
JESSICA BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BARBER PL, ERIE, PA 16507-1863
(814) 878-4022
(814) 874-5505
Mailing address
100 BARBER PLACE, ERIE, PA 16507
(814) 878-4022
(814) 874-5505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010628
PA
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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