Individual
WILBERT BOSTIC JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5215 W RUNNING BROOK RD, COLUMBIA, MD 21044-1741
(443) 956-0154
Mailing address
5215 W RUNNING BROOK RD, COLUMBIA, MD 21044-1741
(410) 313-6893
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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