MELODY L BOULTON

PORTLAND, ME
NPI1013931492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
(Licence: ME  R026582)
Enumeration Date2006-07-27
Last Update Date2013-03-05
Business Address
-- MELODY L BOULTON PMHCNS-BC
413 LUDLOW ST
PORTLAND, ME 04102-1544
Phone number: 207-871-0013
Mailing Address
-- MELODY L BOULTON PMHCNS-BC
413 LUDLOW ST
PORTLAND, ME 04102-1544
Phone number: 207-871-0013
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