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Jodi Brooks Boutte, MS

NPI 1770108383 · on the registry since 2020

Practice

Address
554 Jamestown Ln
Fate, TX 75189
Phone
(337) 577-6298

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-09

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 Texas