Individual
ANGELA M BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
181 WESTERN AVE, HUME, IL 61932-7201
(217) 433-3453
Mailing address
181 WESTERN AVE, HUME, IL 61932-7201
(217) 433-3453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
149.026119
IL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/09/2007
Last updated
12/04/2023
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