Individual
ATHENA MARIE BOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2765 MAIN ST STE A, CHULA VISTA, CA 91911-4846
(619) 420-1703
Mailing address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-0001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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