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1053569160
TRICIA DEANNE BOOTH
BRYAN, TX
NPI
1053569160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 61065)
Enumeration Date
2008-09-03
Last Update Date
2008-09-03
Business Address
-- TRICIA DEANNE BOOTH MA, LPC
2402 BROADMOOR #102 A
BRYAN, TX 77802
Phone number: 979-229-7184
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Mailing Address
-- TRICIA DEANNE BOOTH MA, LPC
990 WIESEPAPE RD
BRENHAM, TX 77833
Phone number: 979-229-7184
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