Individual
MRS. MELISSA R BOSSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2176 WEST ST, #206, GERMANTOWN, TN 38138-3869
(901) 328-2110
Mailing address
2176 WEST ST, #206, GERMANTOWN, TN 38138-3869
(901) 328-2110
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
5914
TN
1041C0700X
Clinical Social Worker
Primary
C6916
MS
Other
Enumeration date
06/16/2005
Last updated
11/22/2013
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