Individual
MS. ELIZA A BOULWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 CALHOUN ST, WINNSBORO, SC 29180-1508
(803) 635-2335
(803) 635-9695
Mailing address
PO BOX 388, WINNSBORO, SC 29180-0388
(803) 635-2335
(803) 635-9695
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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