Individual
CHERL JAYE BOOTH-MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
435 W 4TH ST, WILLIAMSPORT, PA 17701-6001
(570) 322-7873
(570) 322-8026
Mailing address
403 E CENTRAL AVE, WILLIAMSPORT, PA 17702-7425
(570) 279-8351
(570) 322-8026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PC003642
PA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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