Doctor Name: | MS. BRYNA ANGELIQUE BOSLEY |
NPI Number: | 1093836926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLMSW |
License Number: | 6801087976 |
Business Practice Address: | 26300 Outer Dr Lincoln Park, MI - 481462019 |
Business Phone Number: | 3133884630 |
Business Fax Number: | 3133880472 |
Mailing Address: | 28101 Meadowhill St, ROMULUS |
State: | MI |
Postal Code: | 481742928 |
Phone Number: | 7342723816 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801087976 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |