Individual
MISS JUSTINE MARIE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3604 CANAL ST, NEW ORLEANS, LA 70119-6111
(504) 688-4926
Mailing address
921 CHARTRES ST APT 17, NEW ORLEANS, LA 70116-3334
(802) 345-3947
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
10/19/2023
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