DESIREE LACOLE BOSTIC

COLUMBUS, OH
NPI1033611595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2018-03-01
Last Update Date2019-06-25
Business Address
DESIREE LACOLE BOSTIC
1336 E MAIN ST
COLUMBUS, OH 43205
Phone number: 614-914-8781
Mailing Address
DESIREE LACOLE BOSTIC
1336 E MAIN ST
COLUMBUS, OH 43205-2081
Phone number: 614-942-9847