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Individual

JOSHUA BOSWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7490 SUTHERLAND CIRCLE, BLDG 7490, FORT CARSON, CO 80913
(706) 207-1408
Mailing address
7811 BAD TOELZ RD, FORT CARSON, CO 80913-4653
(706) 207-1408

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-004625
AZ
103T00000X
Psychologist

Other

Enumeration date
10/10/2013
Last updated
08/09/2022
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