Tammy Lynn Bost, LMSW
Social Worker, Clinical in Rockford, MI. Individual provider (NPI-1).
NPI number1083174932
StatusActive
Last updated in NPPESJan 31, 2023
Details
- NPI
- 1083174932
- Entity type
- Individual (NPI-1)
- Name
- Tammy Lynn Bost
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2019
- Certification date
- Jan 31, 2023
- Last updated
- Jan 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801106282 | MI | Yes |
| 104100000X | Social Worker | 6801099721 | MI |
Other names
- Tammy Lynn Ruterbusch (Former Name)
Practice location
1585 Pleasant Wood NeRockford, MI 49341-7577
Phone 810-845-7543
Mailing address
1585 Pleasant Wood NeRockford, MI 49341-7577
Phone 810-845-7543
Other practice locations
1701 Lake Lansing Rd Ste 120
Lansing, MI 48912-3798
Lansing, MI 48912-3798
Phone 810-494-7180 · Fax 810-215-1334
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