Individual
TONI BOULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
1111 PEACEMAKER, SAN ANTONIO, TX 78258-6937
(702) 413-3580
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
60490
TX
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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