DIA BOUTWELL

FAYETTEVILLE, GA
NPI1740757731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: GA  PSY004367)
Enumeration Date2018-10-27
Last Update Date2020-02-21
Business Address
DIA BOUTWELL Phd
125 HOWARD LN STE B
FAYETTEVILLE, GA 30215-1853
Phone number: 502-867-4851
Mailing Address
DIA BOUTWELL Phd
125 HOWARD LN STE B
FAYETTEVILLE, GA 30215-1853
Phone number: 502-867-4851
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