TAVARES BOSTIC

WHITEVILLE, NC
NPI1134545908
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C010090)
Enumeration Date2014-03-17
Last Update Date2016-06-23
Business Address
Mr. TAVARES BOSTIC LCSW
102 W MAIN ST SUITE A
WHITEVILLE, NC 28472-4012
Phone number: 910-642-7463
Mailing Address
Mr. TAVARES BOSTIC LCSW
201 STROMAN RD
MARSTON, NC 28363-9501
Phone number: 585-967-8396