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Organization

BOSTIC COUNSELING & CONSULTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAVARES BOSTIC LCSW (OWNER)
(585) 967-8396
Entity
Organization

Contact information

Practice address
801 E BROAD AVE, SUITE 18, ROCKINGHAM, NC 28379-4382
(585) 967-8396
Mailing address
207 CAROLYNS MILL PL, ROCKINGHAM, NC 28379-7986
(585) 967-8396

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C010090
NC

Other

Enumeration date
08/28/2016
Last updated
08/28/2016
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