MS. Lisa Michelle Booth

NPI #1295006872 in Raytown, Missouri

Provider Information

NPI Number
1295006872
Entity Type
Individual
Name
MS. Lisa Michelle Booth
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Developmental Therapist
Enumeration Date
Jan 13, 2012
Last Updated
Jan 13, 2012

Practice Location

Address
9409 E 65TH ST
ZIP Code
64133-4920
Phone
(816) 812-4898

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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