Individual
CHARLENE BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 GRANT AVE, LAKE KATRINE, NY 12449-5355
(845) 382-5968
Mailing address
9 MEADOWBROOK DR, KINGSTON, NY 12401-6953
(845) 389-0074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
108439-1
NY
Other
Enumeration date
02/08/2021
Last updated
05/25/2022
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