Individual
ANGELA BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 732-2485
(574) 739-1414
Mailing address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 732-2485
(574) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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