Individual
KATHRYN BOULWARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1306 E MILLBROOK RD # 1058, RALEIGH, NC 27609-5474
(704) 860-3110
Mailing address
1306 E MILLBROOK RD # 1058, RALEIGH, NC 27609-5474
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C011149
NC
104100000X
Social Worker
Primary
POO9722
NC
Other
Enumeration date
08/28/2015
Last updated
04/20/2026
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