Individual
AQUANETTA BOYNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, MSW, LCSWA
Contact information
Practice address
140 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6185
(336) 718-7250
(336) 718-7260
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-7250
(336) 718-7260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C016346
NC
1041C0700X
Clinical Social Worker
P012869
NC
Other
Enumeration date
12/20/2018
Last updated
08/19/2024
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