Individual
MRS. JENNNIFER A BOSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9983 PERRY HWY, WEXFORD, PA 15090-9297
(724) 933-8363
Mailing address
9983 PERRY HWY, WEXFORD, PA 15090-9297
(724) 933-8363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
14169
TX
1041C0700X
Clinical Social Worker
Primary
CW016617
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002156853
HIGHMARK BLUE SHIELD
PA
01
—
00S45N
BLUE CROSS BLUE SHIELD
TX
05
—
SW00S45N2
—
TX
Enumeration date
04/09/2007
Last updated
01/21/2015
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