MS. Constance A Booth, MSW

NPI #1093892770 in Montclair, New Jersey

Provider Information

NPI Number: 1093892770
Entity Type: Individual
Name: MS. Constance A Booth, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW
Enumeration Date: Nov 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1 BAY AVE
Address 2: MOUNTAINSIDE HOSPITAL
City: Montclair
State: New Jersey
ZIP Code: 07042-4837
Phone: (973) 429-6775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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