MARIBETH BOUSMAN, BA, CADC CLINTON, IA

Contact Information

MARIBETH BOUSMAN, BA, CADC

2219 GARFIELD ST
CLINTON, IA 52732-2429

Phone: 563-242-6805
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Addiction (Substance Use Disorder)	101YA0400X

Indicates primary specialty

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NPI Profile & details for MARIBETH BOUSMAN · (Female)

NPI #	`1174001556`
Status	Active
Credentials	BA, CADC
Entity	Individual
Enumeration date	07/30/2018
Last updated	07/30/2018 - About 8 years ago
Sole proprietor ¹	No
Identifiers	IA License # 18021
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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