Individual
JOSEPH T BOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA JUSTICE
Contact information
Practice address
3830 S CUSHMAN ST, FAIRBANKS, AK 99701-7530
(907) 455-1416
(907) 455-1460
Mailing address
700 FAIRBANKS ST, FAIRBANKS, AK 99709-3454
(907) 322-0840
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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