Individual
HAYLEY BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
939 ELKRIDGE LANDING RD STE 350, LINTHICUM HEIGHTS, MD 21090-2953
(443) 354-8903
Mailing address
33458 N MILL RD, GRAYSLAKE, IL 60030-1951
(541) 892-1874
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
12/11/2023
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