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Individual
MRS. SYREETA V. BOONE
Active
Individual
MRS. SYREETA V. BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AC1734
MD
1041C0700X
Clinical Social Worker
Primary
18676
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033231204
CAREFIRST
MD
05
—
1033231204
—
MD
Enumeration date
04/08/2019
Last updated
06/11/2019
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