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Individual

ERIN N. BOOTHBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
29 SOUTH MAIN ST., NEW MILFORD, CT 06776
(860) 946-9292
Mailing address
29 SOUTH MAIN ST., NEW MILFORD, CT 06776
(860) 946-9292

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005999
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140005999CT01
ANTHEM BEHAVIORAL HEALTH
CT
01
374371
MANAGED HEALTH NETWORK
CT
01
P3652690
OXFORD HEALTH PLANS
CT
Enumeration date
10/13/2006
Last updated
07/08/2007
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