MEDICARE: MRS. MARGARET LILLIAN BOST L.C.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SC03685	NJ

General Provider Information

NPI Number	:	1861474959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGARET LILLIAN BOST L.C.S.W.

Provider Business Mailing Address
First Line	:	121 DEERHAVEN RD
Second Line	:
City	:	MAHWAH
State	:	NJ
Zip	:	07430-2718
Country	:	US
Telephone Number	:	201-785-0604
Fax Number	:	201-785-0604

Provider Business Practice Location Address
First Line	:	121 DEERHAVEN RD
Second Line	:
City	:	MAHWAH
State	:	NJ
Zip	:	07430-2718
Country	:	US
Telephone Number	:	201-785-0604
Fax Number	:	201-785-0604

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	07/09/2007

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