Individual
MAUREEN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3107 MEETING STREET RD, NORTH CHARLESTON, SC 29405-7980
(843) 654-7464
Mailing address
1136 CULTIVATOR ST, MOUNT PLEASANT, SC 29466-9439
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
Primary
5635
CT
Other
Enumeration date
10/08/2018
Last updated
09/23/2024
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