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NPI Profile for MARY K BOOTH in OLEAN, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1801937826 |
|
| Status | Active | |
| Credentials | BA, CASAC, LMHC | |
| Entity | Individual | |
| Enumeration date | 02/11/2007 | |
| Last updated | 03/10/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARY K BOOTH
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MARY K BOOTH, BA, CASAC, LMHC