Individual
EMILY BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1597
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1597
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
16821
MS
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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