Individual
COURTNEY L BOSTWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
1301 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-3171
(712) 464-3269
Mailing address
1301 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-3171
(712) 464-3269
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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