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1417258351
TARA JEAN BOSNIC
INDEPENDENCE, IA
NPI
1417258351
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Former Name
TARA JEAN NISSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 007613)
Enumeration Date
2010-11-09
Last Update Date
2018-03-17
Business Address
Mrs. TARA JEAN BOSNIC LISW
2300 SWAN LAKE BLVD STE 102
INDEPENDENCE, IA 50644-9708
Phone number: 563-579-1181
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Mailing Address
Mrs. TARA JEAN BOSNIC LISW
2300 SWAN LAKE BLVD STE 102
INDEPENDENCE, IA 50644-9708
Phone number: 563-579-1181
Copy
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