Individual
ANITA DENISE BOATWRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 W MANCHESTER BLVD, INGLEWOOD, CA 90305-2520
(323) 751-3805
Mailing address
2504 W MANCHESTER BLVD, INGLEWOOD, CA 90305-2520
(323) 751-3805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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