Individual
BENITA J BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC
Contact information
Practice address
447 S INDIANAPOLIS AVE, TULSA, OK 74112-2625
(918) 925-1300
(918) 925-1317
Mailing address
447 S INDIANAPOLIS AVE, TULSA, OK 74112-2625
(918) 925-1300
(918) 925-1317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1024
OK
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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