DERIC J BOSTON

CARY, NC
NPI1861630816
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  c006078)
Enumeration Date2009-01-29
Last Update Date2009-01-29
Business Address
-- DERIC J BOSTON LCSW
110 IOWA LANE, SUITE 202
CARY, NC 27511
Phone number: 919-619-1032
Mailing Address
-- DERIC J BOSTON LCSW
110 IOWA LANE, SUITE 202
CARY, NC 27511
Phone number: 919-619-1032
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