MICKEY SCOTT BOONE

WEST LAFAYETTE, IN
NPI1912575184
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-06-15
Last Update Date2021-06-15
Business Address
MICKEY SCOTT BOONE
1305 CUMBERLAND AVE STE 110
WEST LAFAYETTE, IN 47906-1316
Phone number: 765-464-2991
Mailing Address
MICKEY SCOTT BOONE
1305 CUMBERLAND AVE STE 225
WEST LAFAYETTE, IN 47906-1343
Phone number: 765-464-2991