Wanda Ramona Boutte
NPI #1376980227 in Antioch, California
Provider Information
- NPI Number
- 1376980227
- Entity Type
- Individual
- Name
- Wanda Ramona Boutte
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jun 2, 2013
- Last Updated
- Nov 22, 2024
Practice Location
- Address
- 5241 MEDEA WAY
- City
- Antioch
- State
- California
- ZIP Code
- 94531-8727
- Phone
- (510) 469-1136
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Developmental Therapist |
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