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Individual

MRS. LAURA E. BOOTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSW, CAP, ICRC, CET

Contact information

Practice address
5131 NE 19TH TER, POMPANO BEACH, FL 33064-5635
(954) 494-4281
Mailing address
566 NE 20TH ST, APARTMENT 5, WILTON MANORS, FL 33305-2146
(954) 494-4281

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
05/11/2011
Last updated
06/10/2019
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