Individual
JOYCE LEE BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
504 E 24TH ST, TISHOMINGO, OK 73460-3214
(903) 815-0843
Mailing address
504 E 24TH ST, TISHOMINGO, OK 73460-3214
(903) 815-0843
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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