Individual
MRS. WENDY KILPATRICK BOVELL
Active
Individual
MRS. WENDY KILPATRICK BOVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4277
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022634
VMC
—
01
—
213933
COMPSYCH
—
05
—
3925616
—
TN
01
—
4045771
BCBS
—
Enumeration date
11/02/2005
Last updated
07/09/2007
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