Organization
BOSTIC PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE BOSTIC LCSW-C (CEO)
(443) 769-5434
Entity
Organization
Contact information
Practice address
1528 NORTHGATE RD, BALTIMORE, MD 21218-1618
(443) 267-8421
Mailing address
1400 W LOMBARD ST # 1054, BALTIMORE, MD 21223-3134
(443) 267-8421
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/12/2022
Last updated
03/17/2022
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