Individual
TYLER BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
281 MAIN ST, EAST HARTFORD, CT 06118-1883
(860) 569-5900
Mailing address
281 MAIN ST, EAST HARTFORD, CT 06118-1883
(860) 569-5900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
006155
CT
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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