Individual
MR. MARK BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1629 K ST NW, WASHINGTON, DC 20006-1602
(703) 754-0636
Mailing address
7230 HERITAGE VILLAGE PLAZA SUITE 202, GAINESVILLE, VA 20155
(703) 754-0636
(703) 754-0646
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC303556
DC
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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