Daniqua T. Boulware LCSW
Clinical Social Worker in Shelby, NC(View on Map)
Full Name
Daniqua Tishawn Boulware LCSW
NPI Number
1073378063
NPI Type
Individual Provider
Gender
Female
Enumeration Date
02/19/2024
Specialties
(Taxonomies)Licenses
State
North Carolina
License Number
P017558
Contact
Information
Purpose
Mailing
Location
Address
116 LEE ST
116 LEE ST
City
Shelby
Shelby
State
NC
NC
Postal Code
28150-3839
28150-3839
Country
US
US
Telephone Number
(704) 487-4000
(704) 487-4000
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/19/2024