Individual
DANIEL AGYEI BOAMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2815 RUSSELLVILLE RD, BOWLING GREEN, KY 42101-3960
(270) 938-1020
(270) 938-1018
Mailing address
PO BOX 51372, BOWLING GREEN, KY 42102-5672
(270) 938-1020
(270) 938-1018
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3917
KY
1041C0700X
Clinical Social Worker
Primary
3917
KY
171M00000X
Case Manager/Care Coordinator
3917
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100306270
—
KY
Enumeration date
08/11/2014
Last updated
09/30/2019
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