Individual
CATHY S BOSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 N STATE ST, GRANGEVILLE, ID 83530-1769
(208) 983-0235
(208) 983-0425
Mailing address
304 N STATE ST, GRANGEVILLE, ID 83530-1769
(208) 983-0235
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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