Individual
MRS. TARA JEAN BOSNIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2300 SWAN LAKE BLVD STE 102, INDEPENDENCE, IA 50644-9708
(563) 579-1181
Mailing address
2300 SWAN LAKE BLVD STE 102, INDEPENDENCE, IA 50644-9708
(563) 579-1181
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007613
IA
Other
Enumeration date
11/09/2010
Last updated
03/17/2018
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