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Organization

BOSWORTH THERAPY & CONSULTATION SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS MATTHEW BOSWORTH (PRESIDENT)
(605) 343-7755
Entity
Organization

Contact information

Practice address
2650 JACKSON BLVD, RAPID CITY, SD 57702
(605) 343-7755
(605) 721-8896
Mailing address
3213 WEST MAIN STREET, # 215, RAPID CITY, SD 57702
(605) 343-7755
(605) 721-8896

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1590
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6570593
SD
Enumeration date
06/14/2006
Last updated
04/23/2015
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