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Individual

MISS JOIE DE BOSTOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161935
OH
101YP2500X
Professional Counselor
C6623
OR
101YP2500X
Professional Counselor
Primary
E.2102397-SUPV
OH
221700000X
Art Therapist
ATCB.22.025

Other

Enumeration date
08/04/2016
Last updated
11/08/2025
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