Individual
IRENE BOAMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.S.W
Contact information
Practice address
489 MATLOCK RD, BOWLING GREEN, KY 42104-7407
(270) 320-1662
(270) 846-4887
Mailing address
1711 ASHLEY CIR STE 2, BOWLING GREEN, KY 42104-5801
(270) 320-1662
(270) 846-4887
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4910
KY
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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