Organization
BROOKE A. BOOTH LICSW LLC
Active
Organization
BROOKE A. BOOTH LICSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BROOKE BOOTH (MEMBER)
(774) 421-9433
Entity
Organization
Contact information
Practice address
20 MAIN ST, SUITE 202, NATICK, MA 01760-4525
(508) 650-0991
Mailing address
5 GRIFFIN CIR, WAYLAND, MA 01778-4835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118662
MA
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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