MR. Tavares Bostic, LCSW

NPI #1134545908 in Whiteville, North Carolina

Provider Information

NPI Number: 1134545908
Entity Type: Individual
Name: MR. Tavares Bostic, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 17, 2014
Last Updated: Jun 23, 2016

Practice Location

Address: 102 W MAIN ST
Address 2: SUITE A
City: Whiteville
State: North Carolina
ZIP Code: 28472-4012
Phone: (910) 642-7463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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