Individual
AMANDA BOEHME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
717 HIGHWAY 70 E, SUITE B, KINGSTON, OK 73439-8253
(903) 814-3607
Mailing address
PO BOX 1572, KINGSTON, OK 73439-1572
(903) 814-3607
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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