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Individual

MARLA D BOEHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2211 MAYFAIR DR STE 409, OWENSBORO, KY 42301-4570
(270) 417-7980
(270) 417-7989
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4249
KY
1041C0700X
Clinical Social Worker
Primary
3226
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100286410
KY
Enumeration date
08/24/2006
Last updated
12/07/2018
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