Boswell, Theresa T

Boswell, Theresa T is an individual health care provider with primary practice located at 1908 N Beale Rd , Marysville CA 95901-6937. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boswell, Theresa T can be contacted via phone (530) 743-6888.

Contact Information

Primary practice address
1908 N Beale Rd Marysville CA 95901-6937
Phone: (530) 743-6888
Fax: (530) 743-9823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7261 123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 76405 California

Profile Details

NPI number 1376749598
LBN Legal business name Boswell, Theresa T
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated May 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376749598 NPPES
Wisconsin MEDICAID 40967800

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