Organization
NICOLE BOOTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BOOTH LCSW (LCSW)
(801) 719-0117
Entity
Organization
Contact information
Practice address
144 E SHADOWBROOK LN, KAYSVILLE, UT 84037-2892
(801) 719-0117
(801) 719-0117
Mailing address
144 E SHADOWBROOK LN, KAYSVILLE, UT 84037-2892
(801) 719-0117
(801) 719-0117
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/23/2026
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