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Sandra Boulware, LPC, MAC

NPI 1235373465 · on the registry since 2009 · sole proprietor

Practice

Address
1121 K St Nw
Miami, OK 74354
Phone
(918) 542-5671

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101Y00000X
101YP2500X
101YS0200X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma