Individual
REBECCA JANE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
215 4TH AVE SE, CEDAR RAPIDS, IA 52401-1844
(319) 330-3696
(866) 496-4073
Mailing address
927 N 2ND ST STE B, CLINTON, IA 52732-3750
(319) 774-2045
(866) 496-4073
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
095684
IA
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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