Macey E Boutwell

NPI #1104604750 in Paducah, Kentucky

Provider Information

NPI Number
1104604750
Entity Type
Individual
Name
Macey E Boutwell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Sep 15, 2023
Last Updated
Sep 15, 2023

Practice Location

Address
6201 BENTON RD
ZIP Code
42003-1304
Phone
(270) 908-0461

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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