Individual
MRS. ELIZABETH BOSARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
511 MAPLE LN, OCEAN SPRINGS, MS 39564-9063
(228) 872-8882
Mailing address
PO BOX 1541, OCEAN SPRINGS, MS 39566-1541
(228) 215-0815
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M8838
MS
1041C0700X
Clinical Social Worker
Primary
C8838
MS
Other
Enumeration date
07/22/2016
Last updated
07/12/2022
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