Most Relevant Information
Provider Data
| NPI Number: | 1003282476 |
| Provider Name: | CHRISTINE MICHELLE BOUTIN LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 094955 |
Most Important Dates
| Enumeration Date: | 08/19/2015 |
| Last Updated: | 08/19/2015 |
Provider Practice Location
19 W 34TH ST RM 1200
INTEGRITY SENIOR SERVICES
NEW YORK
NY
100013006
Practice Location Phone/Fax
| Phone: | 7184942858 |
| Fax: |
Provider Mailing Location
9413 211TH ST
QUEENS VILLAGE
NY
114281526
Provider Mailing Phone/Fax
| Phone: | 3476054869 |
| Fax: |