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1134745516
CARLY R BOOTH
SHALLOTTE, NC
NPI
1134745516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2020-06-22
Last Update Date
2023-12-04
Business Address
MRS. CARLY R BOOTH MSW LCAS
4437 MAIN ST
SHALLOTTE, NC 28470-4451
Phone number: 910-754-4449
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Mailing Address
MRS. CARLY R BOOTH MSW LCAS
4437 MAIN ST
SHALLOTTE, NC 28470-4451
Phone number: 910-754-4449
Copy
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