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NPI 1144743378

NPI 1144743378 : MS. CHLORIA D BOONE : OWOSSO, MI

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General NPI Number Information
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    NPI Number           |    1144743378
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    Entity Type          |    Individual 
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    Provider Name        |    MS. CHLORIA D BOONE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/19/2017
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    1480 N M 52 STE 1 
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    City                 |    OWOSSO
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    State                |    MI
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    Zip                  |    48867-1025
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    Country              |    US
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    Telephone            |    810-232-9950
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 288 
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    City                 |    FLINT
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    State                |    MI
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    Zip                  |    48501-0288
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    Country              |    US
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    Telephone            |    810-288-5445
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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