Individual
VANESSA BOATRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1931 BAGGETTE RD, MANNING, SC 29102-7643
(843) 615-3812
(803) 472-1027
Mailing address
1931 BAGGETTE RD, MANNING, SC 29102-7643
(843) 615-3812
(803) 472-1027
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P008697
NC
102L00000X
Psychoanalyst
P008697
NC
103K00000X
Behavior Analyst
P008697
NC
Other
Enumeration date
05/23/2015
Last updated
05/23/2015
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