Individual
MS. CHRISTINE MICHELLE BOUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
19 W 34TH ST RM 1200, INTEGRITY SENIOR SERVICES, NEW YORK, NY 10001-3006
(718) 494-2858
Mailing address
9413 211TH ST, QUEENS VILLAGE, NY 11428-1526
(347) 605-4869
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
094955
NY
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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