Individual
MS. CHRISTINA BOULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5707 N 22ND ST, ACCESS CENTER, TAMPA, FL 33610-4350
(813) 272-2244
(813) 272-3766
Mailing address
3633 HOLLOW TRAIL COURT, PALM HARBOR, FL 34684
(727) 787-5236
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW6028
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K4526
GROUP PROVIDER #
—
Enumeration date
08/31/2006
Last updated
12/17/2012
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