Individual
LESLI BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 8TH AVE, TERRE HAUTE, IN 47804-2744
(812) 231-8323
(812) 231-8191
Mailing address
620 8TH AVE, TERRE HAUTE, IN 47804-2744
(812) 231-8323
(812) 231-8191
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008835A
IN
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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