Mactavia A Bostick, LSW
Social Worker in York, PA. Individual provider (NPI-1).
NPI number1609388248
StatusActive
Last updated in NPPESNov 3, 2017
Details
- NPI
- 1609388248
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mactavia A Bostick
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2017
- Last updated
- Nov 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | SW134720 | PA | Yes |
Practice location
2845 Eastern BlvdYork, PA 17402-2909
Phone 717-840-6444
Mailing address
410 N Prince StLancaster, PA 17603-3010
Phone 717-560-7917 · Fax 717-560-6452
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