Individual
MR. PAUL TEXAS BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1808 VAN HISE AVE, MADISON, WI 53726-4053
(512) 401-7794
Mailing address
1808 VAN HISE AVE, MADISON, WI 53726-4053
(512) 401-7794
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12409-123
WI
1041C0700X
Clinical Social Worker
66033
TX
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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