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Theresa T Boswell, LCSW

Social Worker, Clinical in Marysville, CA. Individual provider (NPI-1).

NPI number1376749598
StatusActive
Last updated in NPPESMay 26, 2020

Details

NPI
1376749598
Entity type
Individual (NPI-1)
Name
Theresa T Boswell
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Jun 25, 2007
Certification date
May 26, 2020
Last updated
May 26, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical76405CAYes
1041C0700X Social Worker, Clinical7261 123WI

Practice location

1908 N Beale Rd
Marysville, CA 95901-6937

Phone 530-743-6888 · Fax 530-743-9823

Mailing address

1860 Howe Ave
Suite 440
Sacramento, CA 95825-1073

Phone 916-569-8484 · Fax 916-550-5003

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