Nikulas Lagene Boudreaux
Nikulas Lagene Boudreaux is a Clinical Social Worker in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Kansas and Missouri.
- Licensed in
- KS, MO
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
755 W Hamburg StBaltimore, MD 21230-2540
Phone: (915) 490-0002
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 10341 (KS) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 08092017273360 (MO) |
Record details
| NPI number | 1053837443 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 17, 2017 |
| Last updated in NPPES | June 24, 2023 |
| Certification date | June 24, 2023 |
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