CRYSTAL DENNETT BOULWARE

WICHITA FALLS, TX
NPI1083314850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  11018)
Enumeration Date2023-03-09
Last Update Date2023-03-09
Business Address
CRYSTAL DENNETT BOULWARE
207 BROAD ST
WICHITA FALLS, TX 76301-2219
Phone number: 972-800-6986
Mailing Address
CRYSTAL DENNETT BOULWARE
207 BROAD ST
WICHITA FALLS, TX 76301-2219
Phone number: 972-800-6986
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