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Individual

DR. CAROL MARIE BOONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1160 GALLATIN PIKE S, SUITE 214, MADISON, TN 37115-4624
(615) 851-1527
(615) 727-6291
Mailing address
320 CHICKASAW TRL, GOODLETTSVILLE, TN 37072-3302
(615) 851-1527
(615) 727-6291

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000001241
TN

Other

Enumeration date
01/27/2011
Last updated
04/06/2011
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