Individual
SONDRA MARIE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC/A
Contact information
Practice address
141 MCDONALD CT, MYRTLE BEACH, SC 29588-6134
(843) 297-0646
Mailing address
4093 MICA AVE UNIT 102, LITTLE RIVER, SC 29566-6480
(843) 997-2443
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8988
SC
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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