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Organization

BOOTH COUNSELING SERVICES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELAINE BOOTH LMSW (PRESIDENT)
(248) 321-3396
Entity
Organization

Contact information

Practice address
200 E BIG BEAVER RD, SUITE 113, TROY, MI 48083-1208
(248) 321-3396
Mailing address
425 HICKORY DR, TROY, MI 48083-1625
(248) 321-3396

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801058862
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12475344
CAQH
Enumeration date
04/20/2013
Last updated
10/18/2013
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