Vanessa Boatright MSW

NPI 1033598099 - Psychoanalyst - 102L00000X

NPI Details
NPI 1033598099
Gender Female
Enumeration Date 05/23/2015
Last Updated 05/23/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1931 BAGGETTE RD
MANNING SC, 29102-7643, US
Phone (843) 615-3812
Fax (803) 472-1027
Business Location
1931 BAGGETTE RD
MANNING SC, 29102-7643, US
Phone (843) 615-3812
Fax (803) 472-1027
Toxanomy
Taxonomy Code 102L00000X
License State North Carolina
License Number P008697
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According to our database, Vanessa Boatright MSW NPI is 1033598099, taxonomy code is 102L00000X and license number is P008697, license state is located at North Carolina. Vanessa Boatright MSW physically located at 1931 Baggette Rd, Manning SC, 29102-7643. NPI Number Vanessa Boatright MSW has the Individual type.

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1033598099 NPI number is provided on an as is basis without warranty of any kind. 1033598099 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Boatright MSW are for informational purposes only.