CHAD A BOOTH

MICHIGAN CITY, IN
NPI1083802094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  33005318A)
Enumeration Date2007-10-04
Last Update Date2007-10-04
Business Address
Mr. CHAD A BOOTH LSW
450 SAINT JOHN RD
MICHIGAN CITY, IN 46360-7354
Phone number: 219-872-8666
Mailing Address
Mr. CHAD A BOOTH LSW
1072 JESSE BARTLETT CT
CROWN POINT, IN 46307-7515
Phone number: 219-872-8666
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