Individual
MR. JEAN ELIZABETH BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6185
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R58892
SC
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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