Boulware, Latonya

Boulware, Latonya is an sole proprietor health care provider with primary practice located at 2289 Spencer Boyd Rd , Great Falls SC 29055-8908. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Agencies / Case Management, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Boulware, Latonya can be contacted via phone (803) 482-6754.

Contact Information

Primary practice address
2289 Spencer Boyd Rd Great Falls SC 29055-8908
Phone: (803) 482-6754
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Agencies / Case Management 251B00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1528619574
LBN Legal business name Boulware, Latonya
Credentials BSW, MBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2019
Last updated Sep 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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