Individual
MRS. AMY NICOLE BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA PRIMARY SERVICE C
Contact information
Practice address
635 S MAIN ST STE B, LEITCHFIELD, KY 42754-1056
(270) 287-0656
Mailing address
635 S MAIN ST STE B, LEITCHFIELD, KY 42754-1056
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
262626
KY
Other
Enumeration date
01/12/2007
Last updated
03/12/2020
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