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1417241407
LEWIS BOATNER
CLARKSVILLE, TN
NPI
1417241407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-06-07
Last Update Date
2011-06-07
Business Address
Mr. LEWIS BOATNER
201 UFFELMAN DR STE F
CLARKSVILLE, TN 37043-2970
Phone number: 931-920-7333
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Mailing Address
Mr. LEWIS BOATNER
2010A SHANNAHAN DR
FORT CAMPBELL, KY 42223-1170
Phone number: 313-461-4984
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