Bouldin, Te'Ara Sharae

Bouldin, Te'Ara Sharae is an sole proprietor health care provider with primary practice located at 120 Latham Dr , Warner Robins GA 31088-2146. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bouldin, Te'Ara Sharae can be contacted via phone (478) 887-3141.

Contact Information

Primary practice address
120 Latham Dr Warner Robins GA 31088-2146
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP013078 Georgia

Profile Details

NPI number 1861235012
LBN Legal business name Bouldin, Te'Ara Sharae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2024
Last updated Jun 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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