JOHN BOOTH

WAUSAU, WI
NPI1245600840
Other NameLJ BOOTH
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: WI  479-228)
Enumeration Date2015-09-25
Last Update Date2015-09-25
Business Address
-- JOHN BOOTH MFT
520 N 28TH AVE SUITE 200
WAUSAU, WI 54401-4101
Phone number: 715-845-4900
Mailing Address
-- JOHN BOOTH MFT
E1494 COUNTY ROAD Q
SCANDINAVIA, WI 54977-9727
Phone number: 715-467-2442
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