Individual
JAZMINE DENEE BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4300 SAN MATEO BLVD NE STE B186, ALBUQUERQUE, NM 87110-8409
(505) 226-2839
(505) 295-2559
Mailing address
4300 SAN MATEO BLVD NE STE B186, ALBUQUERQUE, NM 87110-8409
(505) 226-2839
(505) 295-2559
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-11460
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2024-0505
NM
Other
Enumeration date
12/30/2021
Last updated
04/28/2025
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