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Individual

MRS. OLGA LOUISE BOOTH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MS, NCC, LGPC

Contact information

Practice address
8203 HARFORD RD, PARKVILLE, MD 21234-5888
(800) 491-5369
Mailing address
2811 DEEP LANDING RD, HUNTINGTOWN, MD 20639-9586
(180) 049-1536
(410) 882-1898

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
LGPC #147
MD

Other

Enumeration date
05/28/2006
Last updated
07/08/2007
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