ELIZABETH MICHELLE BOSTIC

DANVILLE, VA
NPI1013092345
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904002039)
Enumeration Date2006-10-26
Last Update Date2007-07-09
Business Address
-- ELIZABETH MICHELLE BOSTIC LCSW
1611 OLD MAYFIELD RD
DANVILLE, VA 24541-7511
Phone number: 434-799-3318
Mailing Address
-- ELIZABETH MICHELLE BOSTIC LCSW
1611 OLD MAYFIELD RD
DANVILLE, VA 24541-7511
Phone number: 434-799-3318
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