Lucille Booth LMSW

NPI 1750700951 - Social Worker - 104100000X

NPI Details
NPI 1750700951
Gender Female
Enumeration Date 04/15/2014
Last Updated 04/15/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
585 JEWETT RD
MASON MI, 48854-8729, US
Phone (517) 676-5405
Fax (517) 676-5460
Business Location
1360 S HILLSDALE RD
HILLSDALE MI, 49242-9367, US
Phone (517) 676-5405
Fax (517) 676-5460
Toxanomy
Taxonomy Code 104100000X
License State Michigan
License Number 6801090521
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According to our database, Lucille Booth LMSW NPI is 1750700951, taxonomy code is 104100000X and license number is 6801090521, license state is located at Michigan. Lucille Booth LMSW physically located at 585 Jewett Rd, Mason MI, 48854-8729. NPI Number Lucille Booth LMSW has the Individual type.

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1750700951 NPI number is provided on an as is basis without warranty of any kind. 1750700951 is maintained by the National Plan & Provider Enumeration System. The contents of Lucille Booth LMSW are for informational purposes only.