Individual
MS. CAROLE M. BOES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CEAP
Contact information
Practice address
1022-A N. MAIN ST., 2ND FLOOR, AVADA BUILDING, BUTLER, PA 16001-0524
(412) 629-0320
(724) 282-9728
Mailing address
1022-A N. MAIN ST., 2ND FLOOR, AVADA BUILDING, BUTLER, PA 16001-0524
(412) 629-0320
(724) 282-9728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW002686L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11630780
CAQH UNIVERSAL CREDENTIAL
PA
01
—
715337
MAGELLAN
PA
01
—
742115
AETNA
PA
Enumeration date
01/10/2007
Last updated
07/08/2007
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