Individual
MRS. HEATHER RENEE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
28 MALLARD CT, BECKLEY, WV 25801-3664
(304) 252-8409
(304) 252-0022
Mailing address
28 MALLARD CT, BECKLEY, WV 25801-3664
(304) 252-8409
(304) 252-0022
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
AP02943057
WV
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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