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Contact Information

JUDITH M BOIVIN, R.N.,LCSW, ACSW
101 RIVERSTONE VIS
BLUE RIDGE, GA30513-6648
 Phone: 706-851-6019
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JUDITH M BOIVIN · (Female)

NPI Number 1538393442
Status Active
Credentials R.N.,LCSW, ACSW
Entity Individual
Enumeration date 05/06/2009
Last updated 05/06/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 002222
  • GA License # 130664
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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