MICA COLLINS BOOTH

LADY LAKE, FL
NPI1073835666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA10301)
Enumeration Date2010-02-23
Last Update Date2025-04-24
Business Address
MICA COLLINS BOOTH
630 GRIFFIN AVE
LADY LAKE, FL 32159-8101
Phone number: 352-750-6619
Mailing Address
MICA COLLINS BOOTH
630 GRIFFIN AVE
LADY LAKE, FL 32159-8101
Phone number: 352-750-6619
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