Lesli Bose
Social Worker, Clinical in Terre Haute, IN. Individual provider (NPI-1).
NPI number1376165258
StatusActive
Last updated in NPPESMay 13, 2020
Details
- NPI
- 1376165258
- Entity type
- Individual (NPI-1)
- Name
- Lesli Bose
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 13, 2020
- Certification date
- May 13, 2020
- Last updated
- May 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 34008835A | IN | Yes |
Practice location
620 8th AveTerre Haute, IN 47804-2744
Phone 812-231-8323 · Fax 812-231-8191
Mailing address
620 8th AveTerre Haute, IN 47804-2744
Phone 812-231-8323 · Fax 812-231-8191
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