JUSTIN LEE BOULWARE

YANKTON, SD
NPI1043054000
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-06-24
Last Update Date2024-06-24
Business Address
JUSTIN LEE BOULWARE
1028 WALNUT ST
YANKTON, SD 57078-2910
Phone number: 605-665-4606
Mailing Address
JUSTIN LEE BOULWARE
1028 WALNUT ST
YANKTON, SD 57078-2910
Phone number: