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Individual

JESSICA BOSQUES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
533 OSAGE DR, DYER, IN 46311-2240
(773) 931-8262
Mailing address
533 OSAGE DR, DYER, IN 46311-2240
(773) 931-8262

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180008365
IL

Other

Enumeration date
04/26/2011
Last updated
05/02/2018
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