Organization
MASHELLE BOSWELL, LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MASHELLE BOSWELL LCSW (OWNER)
(435) 770-7813
Entity
Organization
Contact information
Practice address
1174 E GRAYSTONE WAY STE 20-E, SALT LAKE CITY, UT 84106-2673
(435) 770-7813
Mailing address
1174 E GRAYSTONE WAY STE 20-E, SALT LAKE CITY, UT 84106-2673
(435) 770-7813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
276083-3501
UT
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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