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1194738526
JEFFREY G. BOSTWICK
SPRINGFIELD, IL
NPI
1194738526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
JEFFREY G. BOSTWICK LCSW
200 W LAKE SHORE DR BUILDING A
SPRINGFIELD, IL 62703-4956
Phone number: 217-529-9775
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Mailing Address
JEFFREY G. BOSTWICK LCSW
710 N 8TH ST
SPRINGFIELD, IL 62702-6324
Phone number: 217-525-1064
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