Individual
EDEN BOZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
105 WAXHAW PROFESSIONAL PARK DR STE H, WAXHAW, NC 28173-5018
(704) 256-0305
Mailing address
505 RUNNING HORSE LN, WAXHAW, NC 28173-7248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C010499
NC
Other
Enumeration date
09/12/2017
Last updated
10/09/2017
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