Individual
MRS. ANGELA FAITH BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
331 SIJEN AVE BLDG 2032, WHITEMAN AFB, MO 65305-1269
(660) 233-2903
Mailing address
13387 MARTIN RD, LA MONTE, MO 65337-2902
(660) 233-2903
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2014037634
MO
1041C0700X
Clinical Social Worker
Primary
2017024101
MO
Other
Enumeration date
04/21/2015
Last updated
01/11/2022
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