MS. Sandra Sue Dale Boulware, LPC, MAC
NPI #1235373465 in Miami, Oklahoma
Provider Information
- NPI Number
- 1235373465
- Entity Type
- Individual
- Name
- MS. Sandra Sue Dale Boulware, LPC, MAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- LPC, MAC
- Enumeration Date
- May 1, 2009
- Last Updated
- May 1, 2009
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Professional — Professional |
| Counselor - School — School |
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