Individual
JENNIFER DAWN BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
9245 QUANTRELLE AVE NE, OTSEGO, MN 55330-0168
(763) 308-8619
Mailing address
17610 227TH AVE NW, BIG LAKE, MN 55309-8857
(320) 290-7305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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