JERRY WAYNE BOSTON

JEFFERSONVILLE, IN
NPI1952435463
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34005200A)
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
Mr. JERRY WAYNE BOSTON L.C.S.W.
2420 E 10TH ST
JEFFERSONVILLE, IN 47130-7303
Phone number: 812-282-8248
Mailing Address
Mr. JERRY WAYNE BOSTON L.C.S.W.
1106 SANDSTONE DR
JEFFERSONVILLE, IN 47130-8448
Phone number: 812-284-3878
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