Individual
JUDITH MARIE BOIVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.,LCSW, ACSW
Contact information
Practice address
101 RIVERSTONE VIS, BLUE RIDGE, GA 30513-6648
(706) 851-6019
Mailing address
100 LAKEVIEW DR, TURTLETOWN, TN 37391-4815
(423) 548-6372
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002222
GA
163W00000X
Registered Nurse
130664
GA
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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