Individual
MACKENZIE BOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
199 COURT STREET, JANE LEW, WV 26378
(304) 884-7811
Mailing address
102 ASHLEY OAKS, MORGANTOWN, WV 26505
(304) 904-7973
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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