SAM BOOTH

FORT WAYNE, IN
NPI1063380475
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-10-27
Last Update Date2025-10-27
Business Address
SAM BOOTH M.A.
9329 ILLINOIS RD
FORT WAYNE, IN 46804-5796
Phone number: 260-444-6045
Mailing Address
SAM BOOTH M.A.
9329 ILLINOIS RD
FORT WAYNE, IN 46804-5796
Phone number: 260-444-6045
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