Individual
BOAZ RODERICK FUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD.PSY
Contact information
Practice address
952 DECATUR ST, MEMPHIS, TN 38107-2703
(901) 644-5713
Mailing address
PO BOX 70700, MEMPHIS, TN 38107-0700
(901) 644-5713
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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