Individual
SARAH M. BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2205 S MAIN ST, LAS CRUCES, NM 88005-3113
(575) 993-3201
Mailing address
355 N MAIN ST, KANAB, UT 84741-3260
(435) 644-5811
(435) 644-3588
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-05398
NM
1041C0700X
Clinical Social Worker
Primary
11205780-3501
UT
1041C0700X
Clinical Social Worker
I-07545
NM
Other
Enumeration date
09/16/2009
Last updated
05/21/2020
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