Individual
DANIELLE M BOSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11811 N TATUM BLVD, PHOENIX, AZ 85028-1614
(480) 721-9593
Mailing address
PO BOX 31853, PHOENIX, AZ 85046-1853
(480) 721-9593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-22050
AZ
Other
Enumeration date
04/20/2022
Last updated
04/11/2024
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