Deric J. Boston, LCSW
Deric J. Boston, LCSW is a Community/Behavioral Health Agency in Durham, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.
- Licensed in
- NC
- In the registry since
- 2008
Practice location Address checks out
1058 W Club Blvd Box 642Durham, NC 27701-1104
Phone: (919) 619-1032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence C006078 (NC) |
|---|
Record details
| NPI number | 1891959524 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Deric Boston — Owner · (919) 619-1032 |
| NPI enumerated | July 11, 2008 |
| Last updated in NPPES | May 21, 2012 |
| Mailing address | 1058 W Club Blvd, Ste 615, Durham, NC 27701-1104 |
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