Individual
IVANA BOSKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6345 DREXEL RD, PHILADELPHIA, PA 19151-2511
(717) 201-5260
Mailing address
6345 DREXEL RD, PHILADELPHIA, PA 19151-2511
(717) 201-5260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020674
PA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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