Individual
JANINE BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
674 GLYNN CT, DETROIT, MI 48202-1451
(313) 865-2251
Mailing address
674 GLYNN CT, DETROIT, MI 48202-1451
(313) 865-2251
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AL820007611
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046439
—
MI
Enumeration date
09/22/2015
Last updated
09/22/2015
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