MR. Jeremy Lee Bosch, M.S.W., L.S.W.

NPI #1194020404 in Danville, Illinois

Provider Information

NPI Number: 1194020404
Entity Type: Individual
Name: MR. Jeremy Lee Bosch, M.S.W., L.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: M.S.W., L.S.W.
Enumeration Date: Jan 18, 2011
Last Updated: Jan 18, 2011

Practice Location

Address: 1900 E MAIN ST
Address 2: VA ILLIANA HEALTH CARE SYSTEM, SOCIAL WORK 122
City: Danville
State: Illinois
ZIP Code: 61832-5100
Phone: (217) 554-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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