Individual
ALEXES WILSON BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
25482 POINT LOOKOUT RD STE 201A, LEONARDTOWN, MD 20650-3896
(301) 690-0779
Mailing address
22065 CLIPPER DR, GREAT MILLS, MD 20634-2248
(805) 290-2610
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25614
MD
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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