Doctor Name: | MR. CURTIS WILLIAM BOEHNE |
NPI Number: | 1023110848 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW, LCSW |
License Number: | |
Business Practice Address: | 1 Doctors Park Rd Suite G Mount Vernon, IL - 628646251 |
Business Phone Number: | 6182462910 |
Business Fax Number: | 6182462912 |
Mailing Address: | 2401 W Main St, MARION |
State: | IL |
Postal Code: | 629591188 |
Phone Number: | 6189934117 |
Fax Number: | 6189985668 |
NPI Enumeration Date: | 09/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |