Individual
HANNAH GASKIN BOATRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
133 N MAIN ST, PONTOTOC, MS 38863-2103
(662) 419-2901
Mailing address
131 N MAIN ST, PONTOTOC, MS 38863-2103
(662) 419-2901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C2948
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116782
—
MS
Enumeration date
04/26/2006
Last updated
01/26/2012
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