DERIC J. BOSTON, LCSW

DURHAM, NC
NPI1891959524
Entity TypeOrganization
Authorized ContactDERIC BOSTON
Owner
919-619-1032
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: NC  C006078)
Enumeration Date2008-07-11
Last Update Date2012-05-21
Business Address
DERIC J. BOSTON, LCSW
1058 W CLUB BLVD BOX 642
DURHAM, NC 27701-1104
Phone number: 919-619-1032
Mailing Address
DERIC J. BOSTON, LCSW
1058 W CLUB BLVD STE 615
DURHAM, NC 27701-1104
Phone number: 919-619-1032