Individual
MR. DAVID GILLARD BOSTWICK SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW, LCDCIII, SAP
Contact information
Practice address
20800 WESTGATE PROFESSIONAL CENTER, SUITE 200, FAIRVIEW PARK, OH 44126
(440) 333-4949
(440) 333-5044
Mailing address
20800 CENTER RIDGE RD, SUITE 200, FAIRVIEW PARK, OH 44126
(440) 333-4949
(440) 333-5044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I110097
OH
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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