Individual
JENNIFER BOUTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8400 ABERCORN ST, SAVANNAH, GA 31406-3425
(912) 200-4775
Mailing address
8400 ABERCORN ST, SAVANNAH, GA 31406-3425
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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