Individual
JESSICA LEAVITT BOZENSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
2000 EOFF ST, WHEELING, WV 26003-3823
(304) 234-8150
Mailing address
2000 EOFF ST, WHEELING, WV 26003-3823
(304) 234-8150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00939699
WV
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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