Individual
POLLY JANE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3003 HOLLINS RD NE, ROANOKE, VA 24012-7505
(540) 344-6208
(540) 344-9112
Mailing address
3003 HOLLINS RD NE, ROANOKE, VA 24012-7505
(540) 344-6208
(540) 344-9112
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904011171
VA
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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