Individual
AMANDA JANE BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 673-6142
Mailing address
108 MCCLURE ST, BECKLEY, WV 25801-6040
(681) 422-9682
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00946732
WV
Other
Enumeration date
01/18/2024
Last updated
10/21/2024
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