MICHAEL ANTOINE BOULWARE

STATESVILLE, NC
NPI1619689825
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  P018428)
Enumeration Date2022-12-19
Last Update Date2026-04-27
Business Address
Mr. MICHAEL ANTOINE BOULWARE LCSW
276 OLD MOCKSVILLE RD STE 100
STATESVILLE, NC 28625-1951
Phone number: 704-360-3637
Mailing Address
Mr. MICHAEL ANTOINE BOULWARE LCSW
276 OLD MOCKSVILLE RD STE 100
STATESVILLE, NC 28625-1951
Phone number: 704-360-3637
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