Individual
MRS. JILLIAN NUNN BOSSEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CAS, LPA
Contact information
Practice address
617 N SUMMIT AVE, CHARLOTTE, NC 28216-5558
(716) 912-5575
Mailing address
3330 SPENCER ST, CHARLOTTE, NC 28205-1149
(716) 912-5575
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4305
NC
Other
Enumeration date
06/25/2013
Last updated
04/08/2015
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