Individual
MISS CHERYL ELAINE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
748 MAIN ST, LANDER, WY 82520-3036
(307) 332-2231
Mailing address
748 MAIN ST, LANDER, WY 82520-3036
(307) 332-2231
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CMHW-070
WY
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/12/2011
Last updated
03/07/2025
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