Individual
MRS. CAROL BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1025 EUCLID AVENUE, PAINTSVILLE, KY 41240
(606) 789-5808
(606) 789-6412
Mailing address
1025 EUCLID AVENUE, PAINTSVILLE, KY 41240
(606) 789-5808
(606) 789-6412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1345
KY
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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