Individual
ALYSIA BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2431 ALYSA LNDG, OWENSBORO, KY 42303-4581
(000) 000-0000
Mailing address
2431 ALYSA LNDG, OWENSBORO, KY 42303-4581
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
254895
KY
Other
Enumeration date
03/02/2023
Last updated
03/19/2023
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