Individual
MICHELLE BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355004 E 750 RD, CUSHING, OK 74023-5269
(918) 225-0750
(918) 225-3137
Mailing address
355004 E 750 RD, CUSHING, OK 74023-5269
(918) 225-0750
(918) 225-3137
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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