Individual
MRS. CARMALITA RACHELLE BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 WATER OAK DR, CEDARTOWN, GA 30125-2095
(770) 748-2225
Mailing address
1401 APPLEWOOD DRIVE STE 1, DALTON, GA 30720
(706) 270-5033
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/13/2012
Last updated
06/05/2012
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