Individual
LAURA ELLEN BOSELOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 HOSPITAL DR, MT PLEASANT, SC 29464-3251
(843) 375-4000
Mailing address
1537 DIAMOND BLVD, MOUNT PLEASANT, SC 29466-9466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2272
SC
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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