Individual
MARCIA R BOAL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
10601 KAW DR, EDWARDSVILLE, KS 66111-1170
(913) 441-3030
(913) 441-6940
Mailing address
10601 KAW DR, EDWARDSVILLE, KS 66111-1170
(913) 441-3030
(913) 441-6940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW771
KS
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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