Individual
SAM BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2109 S NORTON AVE, SIOUX FALLS, SD 57105-3730
(605) 334-2696
Mailing address
2109 S NORTON AVE, SIOUX FALLS, SD 57105-3730
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
SD
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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