Individual
MS. BELINDA RENEE BOOMERSHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LSW
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
(937) 534-1347
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 298-8300
(937) 534-1347
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0023170
OH
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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