Individual
JEREMY BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
855 WAYSIDE DR, PLAINFIELD, IN 46168-2331
(765) 277-0609
Mailing address
3938 MANN VILLAGE RD APT 153, INDIANAPOLIS, IN 46221-2543
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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