Daniqua Tishawn Boulware, LCSW
NPI #1073378063 in Shelby, North Carolina
Provider Information
- NPI Number
- 1073378063
- Entity Type
- Individual
- Name
- Daniqua Tishawn Boulware, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Feb 19, 2024
- Last Updated
- Feb 19, 2024
Practice Location
- Address
- 116 LEE ST
- City
- Shelby
- State
- North Carolina
- ZIP Code
- 28150-3839
- Phone
- (704) 487-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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