Individual
SUSAN ALLEN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3312 APPLE VALLEY RD, COMMERCE, GA 30529-4111
(706) 202-2986
Mailing address
3312 APPLE VALLEY RD, COMMERCE, GA 30529-4111
(706) 202-2986
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001259
GA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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