Individual
TONI BOSSALINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
23 CLEARLAKE CT, PARKVILLE, MD 21234-3439
(410) 804-4779
Mailing address
3519 PARK FALLS DR, NOTTINGHAM, MD 21236-4736
(410) 804-4779
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19119
MD
Other
Enumeration date
07/29/2013
Last updated
03/21/2019
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