Individual
MR. LEWIS BOATNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 UFFELMAN DR STE F, CLARKSVILLE, TN 37043-2970
(931) 920-7333
(931) 920-7331
Mailing address
2010A SHANNAHAN DR, FORT CAMPBELL, KY 42223-1170
(313) 461-4984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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