Individual
LORIA R. BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 ECLIPSE CTR, BELOIT, WI 53511
(608) 361-0311
Mailing address
74 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 361-0311
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7341-125
WI
Other
Enumeration date
07/29/2014
Last updated
12/06/2019
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