Mickey Scott Boone
NPI #1912575184 in West Lafayette, Indiana
Provider Information
- NPI Number
- 1912575184
- Entity Type
- Individual
- Name
- Mickey Scott Boone
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 15, 2021
- Last Updated
- Jun 15, 2021
Practice Location
- Address
- 1305 CUMBERLAND AVE STE 110
- City
- West Lafayette
- State
- Indiana
- ZIP Code
- 47906-1316
- Phone
- (765) 464-2991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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