Individual
LAURA LYNN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1850 ROCKSIDE LN, SNELLVILLE, GA 30078-6418
(404) 375-6985
Mailing address
1850 ROCKSIDE LN, SNELLVILLE, GA 30078-6418
(404) 375-6985
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW006946
GA
1041C0700X
Clinical Social Worker
Primary
CSW007732
GA
Other
Enumeration date
08/01/2018
Last updated
04/19/2022
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