Individual
ELIZABETH ANN BOSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 CAMERON ST, ALEXANDRIA, VA 22314-2506
(703) 340-1639
(703) 340-1642
Mailing address
600 CAMERON ST, ALEXANDRIA, VA 22314-2506
(703) 340-1639
(703) 340-1642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0904003895
VA
Other
Enumeration date
05/12/2012
Last updated
05/12/2012
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