Wellformed AI

NPI 1932492238 · live from the CMS NPI Registry

Joseph T Bova, ba justice

Social Worker in Fairbanks, AK. National Provider Identifier 1932492238, active.

NPI record

NPI1932492238 Type 1 · individual
StatusActive
Primary specialtySocial Worker 104100000X
Practice location3830 S Cushman St, Fairbanks, AK 99701
Practice phone907-455-1416
Mailing address700 Fairbanks St, Fairbanks, AK 99709
EnumeratedMay 18, 2011
Last updatedMay 18, 2011
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker primary104100000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.