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Individual

MR. DAVID R BOEHM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
123 S POSTON ST, MARION, VA 24354-2423
(276) 783-9040
(276) 782-9567
Mailing address
123 S POSTON ST, MARION, VA 24354-2423
(276) 783-9040
(276) 782-9567

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0904000871
VA
Enumeration date
08/31/2006
Last updated
07/08/2007
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