MR. Chad A Booth, LSW

NPI #1083802094 in Michigan City, Indiana

Provider Information

NPI Number
1083802094
Entity Type
Individual
Name
MR. Chad A Booth, LSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LSW
Enumeration Date
Oct 4, 2007
Last Updated
Oct 4, 2007

Practice Location

Address
450 SAINT JOHN RD
State
Indiana
ZIP Code
46360-7354
Phone
(219) 872-8666

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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