Individual
DANIELLE BOSTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
9712 BELAIR RD STE 300, NOTTINGHAM, MD 21236-1113
(410) 501-9591
Mailing address
1528 NORTHGATE RD, BALTIMORE, MD 21218-1618
(443) 769-5434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
07/13/2021
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