Individual
COLLEEN SHEILA BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98 NORTH FRONT STREET, NEW BEDFORD, MA 02740
(774) 301-5686
Mailing address
68 NORTH FRONT STREET, NEW BEDFORD, MA 02740
(774) 301-5686
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1311603
—
MA
Enumeration date
09/21/2015
Last updated
09/21/2015
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