Individual
BRIAN BOSTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
67670 TRACO DR, SAINT CLAIRSVILLE, OH 43950-9375
(740) 695-2131
Mailing address
67670 TRACO DR, SAINT CLAIRSVILLE, OH 43950-9375
(740) 695-2131
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
M.1600032
OH
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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