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Carol Boulware, LMT
NPI 1275781643 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1615 Spruce St
Quincy, IL 62301 - Phone
- (217) 242-3495
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois