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
- City
- Michigan City
- State
- Indiana
- ZIP Code
- 46360-7354
- Phone
- (219) 872-8666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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