Individual
ELIZABETH BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
1118 PROFESSIONAL DR, DODGEVILLE, WI 53533-1176
(608) 935-2838
(608) 935-9227
Mailing address
1118 PROFESSIONAL DR, DODGEVILLE, WI 53533-1176
(608) 935-2838
(608) 935-9227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
126731
WI
Other
Enumeration date
05/17/2007
Last updated
09/28/2015
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