Tyler Booth LCSW

NPI 1962410811 - Social Worker - 104100000X

NPI Details
NPI 1962410811
Gender Male
Enumeration Date 08/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
281 MAIN ST
EAST HARTFORD CT, 06118-1883, US
Phone (860) 569-5900
Fax
Business Location
281 MAIN ST
EAST HARTFORD CT, 06118-1883, US
Phone (860) 569-5900
Fax
Toxanomy
Taxonomy Code 104100000X
License State Connecticut
License Number 006155
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According to our database, Tyler Booth LCSW NPI is 1962410811, taxonomy code is 104100000X and license number is 006155, license state is located at Connecticut. Tyler Booth LCSW physically located at 281 Main St, East Hartford CT, 06118-1883. NPI Number Tyler Booth LCSW has the Individual type.

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1962410811 NPI number is provided on an as is basis without warranty of any kind. 1962410811 is maintained by the National Plan & Provider Enumeration System. The contents of Tyler Booth LCSW are for informational purposes only.