Individual
GARNETT JESSE BOZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
500 N HOUSTON ST, LORENA, TX 76655-9742
(254) 297-3505
(254) 297-3360
Mailing address
500 N HOUSTON ST, LORENA, TX 76655-9742
(254) 297-3505
(254) 297-3360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
04539
TX
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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