Provider Demographics
NPI:1578686747
Name:BOSWELL, MARGARET ANN (LMFT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:BOSWELL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ANN
Other - Last Name:FRAZIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:603 N WAYNE ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:ANGOLA
Mailing Address - State:IN
Mailing Address - Zip Code:46703-1080
Mailing Address - Country:US
Mailing Address - Phone:260-668-8797
Mailing Address - Fax:260-665-1620
Practice Address - Street 1:603 N WAYNE ST STE 2A
Practice Address - Street 2:
Practice Address - City:ANGOLA
Practice Address - State:IN
Practice Address - Zip Code:46703-1080
Practice Address - Country:US
Practice Address - Phone:260-668-8797
Practice Address - Fax:260-665-1620
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2019-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001480A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist