Individual
MRS. DANIELLE L BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
3505 KRATHER RD, CLEVELAND, OH 44109-3127
(216) 645-0646
Mailing address
1710 PROSPECT AVE E, CLEVELAND, OH 44115-2322
(216) 781-3773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
130061
OH
Other
Enumeration date
01/10/2018
Last updated
03/17/2018
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