Individual
MARY BOOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IADC
Contact information
Practice address
4403 1ST AVE SE STE 307, CEDAR RAPIDS, IA 52402-3221
(319) 294-1599
Mailing address
4403 1ST AVE SE STE 307, CEDAR RAPIDS, IA 52402-3221
(319) 294-1599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11063
IA
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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