Mactavia A Bostick, LSW Valid NPI
Individual provider · Social Worker · York, PA
- NPI
- 1609388248
- Type
- Individual (Type 1)
- Primary specialty
- Social Worker
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 104100000X
- License number
- SW134720 (PA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2017-11-03
- Last updated
- 2017-11-03
Practice location
2845 Eastern Blvd
York, PA 17402-2909
(717) 840-6444