Organization
JON BOSCHEN LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON BOSCHEN LCSW (MANAGING MEMBER)
(862) 432-9149
Entity
Organization
Contact information
Practice address
88 MAIN ST STE 302, WATERVILLE, ME 04901-6602
(862) 432-9149
Mailing address
210 MAIN ST, PITTSFIELD, ME 04967-4362
(862) 432-9149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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