MRS. Carly R Booth, MSW LCAS
NPI #1134745516 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1134745516
- Entity Type
- Individual
- Name
- MRS. Carly R Booth, MSW LCAS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- MSW LCAS
- Enumeration Date
- Jun 22, 2020
- Last Updated
- Dec 4, 2023
Practice Location
- Address
- 4437 MAIN ST
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-4451
- Phone
- (910) 754-4449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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