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Individual
ISSAC LUTHER BOOSE JR.
Active
Individual
ISSAC LUTHER BOOSE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
883
MS
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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