Individual
EDITH BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., TLLP
Contact information
Practice address
2014 LAUREL DR, TROY, MI 48085-3821
(248) 879-1205
Mailing address
2014 LAUREL DR, TROY, MI 48085-3821
(248) 879-1205
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012439
MI
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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