THERESA ANN BOOMER

CLANCY, MT
NPI1205111499
Former NameTHERESA ANN HOPKINS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy170300000X Genetic Counselor, MS
(Licence: IL  246.000083)
Additional Taxonomies170300000X Genetic Counselor, MS
(Licence: TN  GC0000000027)
Enumeration Date2011-10-19
Last Update Date2011-10-19
Business Address
Ms. THERESA ANN BOOMER MS
4 PINE RIDGE CIR
CLANCY, MT 59634-9760
Phone number: 406-422-0411
Mailing Address
Ms. THERESA ANN BOOMER MS
4 PINE RIDGE CIR
CLANCY, MT 59634-9760
Phone number: 406-422-0411