Stacy Boothe
NPI #1255775961 in Mattapan, Massachusetts
Provider Information
- NPI Number
- 1255775961
- Entity Type
- Individual
- Name
- Stacy Boothe
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Enumeration Date
- Apr 24, 2013
- Last Updated
- Apr 24, 2013
Practice Location
- Address
- 53 CLARKWOOD ST
- City
- Mattapan
- State
- Massachusetts
- ZIP Code
- 02126-1807
- Phone
- (617) 690-9178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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