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Individual
MAYA BOULTS
Active
Individual
MAYA BOULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW124910
CA
2470A2800X
Assistant Health Information Record Technician
—
—
Other
Enumeration date
08/21/2018
Last updated
09/05/2024
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