Individual
MAYOLA BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2026 FORT DAVIS ST SE, UNIT 302, WASHINGTON, DC 20020-1335
(202) 701-7197
Mailing address
2026 FORT DAVIS STREET, S.E., UNIT 302, WASHINGTON, DC 20020
(202) 701-7197
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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