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Individual
JEAN GUILLAUME NICOLAS BOULET
Active
Individual
JEAN GUILLAUME NICOLAS BOULET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C008297
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114179108
UBH
NC
01
—
18859
BCBS
NC
01
—
MAGELLAN
601112-311
NC
Enumeration date
10/21/2008
Last updated
04/30/2025
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