Individual
ALEXIS BOOTHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4116 CAMERO AVE, LOS ANGELES, CA 90027-4517
(818) 391-7803
Mailing address
PO BOX 27243, LOS ANGELES, CA 90027-0243
(323) 657-3061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
122485
CA
Other
Enumeration date
06/17/2024
Last updated
07/14/2024
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