Individual
MR. LEROY LIVINGSTONE BOATSWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
919 LAWYERS LANE, COLUMBUS, GA 31906
(706) 256-3210
Mailing address
3040 LANSING AVENUE, COLUMBUS, GA 31907
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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