Individual
KORYE D BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 SE 45TH ST, OKLAHOMA CITY, OK 73129-3201
(405) 632-1900
(405) 632-1976
Mailing address
105 SE 45TH ST, OKLAHOMA CITY, OK 73129-3201
(405) 632-1900
(405) 632-1976
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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