MS. Teresa C. Boose, LCSW

NPI #1699174185 in Flora, Illinois

Provider Information

NPI Number: 1699174185
Entity Type: Individual
Name: MS. Teresa C. Boose, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 20, 2014
Last Updated: Aug 20, 2014

Practice Location

Address: 929 STACEY BURK DR
City: Flora
State: Illinois
ZIP Code: 62839-3241
Phone: (618) 662-2191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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