Joellen Marie Bosch Park

NPI 1083909212 - Social Worker - 1041C0700X

NPI Details
NPI 1083909212
Gender Female
Enumeration Date 06/15/2011
Last Updated 06/15/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3757 EDITH PATCH DR
ANOKA MN, 55303-8309, US
Phone (612) 813-6138
Fax
Business Location
3757 EDITH PATCH DR
ANOKA MN, 55303-8309, US
Phone (612) 813-6138
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 11609
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According to our database, Ms. Joellen Marie Bosch Park NPI is 1083909212, taxonomy code is 1041C0700X and license number is 11609, license state is located at Minnesota. Joellen Marie Bosch Park physically located at 3757 Edith Patch Dr, Anoka MN, 55303-8309. NPI Number Joellen Marie Bosch Park has the Individual type.

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1083909212 NPI number is provided on an as is basis without warranty of any kind. 1083909212 is maintained by the National Plan & Provider Enumeration System. The contents of Joellen Marie Bosch Park are for informational purposes only.