Doctor Name: | LAURIE BOSER |
NPI Number: | 1093926057 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LICSW |
License Number: | 10693 |
Business Practice Address: | 27485 273rd St Pierz, MN - 563641963 |
Business Phone Number: | 2188387770 |
Business Fax Number: | 3202773060 |
Mailing Address: | 27485 273rd St, PIERZ |
State: | MN |
Postal Code: | 563641963 |
Phone Number: | 2188387770 |
Fax Number: | 3202773060 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 09/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 10693 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |