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Individual
MR. THOMAS MEREDITH BOOTH
Active
Individual
MR. THOMAS MEREDITH BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
36467
CA
1041C0700X
Clinical Social Worker
Primary
74254
CA
Other
Enumeration date
08/29/2012
Last updated
09/21/2018
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