Boulware, Latonya
Boulware, Latonya is an sole proprietor health care provider with primary practice located at 2289 Spencer Boyd Rd , Great Falls SC 29055-8908. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Agencies / Case Management, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Boulware, Latonya can be contacted via phone (803) 482-6754.Contact Information
Primary practice address
2289 Spencer Boyd Rd
Great Falls SC 29055-8908
Phone: (803) 482-6754
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Agencies / Case Management | 251B00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1528619574 |
|---|---|
| LBN Legal business name | Boulware, Latonya |
| Credentials | BSW, MBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2019 |
| Last updated | Sep 21st, 2019 - about 7 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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