Individual
DR. KWONEATHIA BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2911 ZELDA RD, MONTGOMERY, AL 36106-2648
(334) 262-7787
Mailing address
3030 IVY CHASE LOOP, MONTGOMERY, AL 36117-6983
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/09/2022
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