Individual
SAMANTHA RAE BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 JORIE BLVD, OAK BROOK, IL 60523-2214
(630) 560-1100
Mailing address
738 BLUFF ST APT 202, CAROL STREAM, IL 60188-3407
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001796
IL
Other
Enumeration date
09/19/2021
Last updated
01/29/2025
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