LISA MICHELLE BOOTH

RAYTOWN, MO
NPI1295006872
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2012-01-13
Last Update Date2012-01-13
Business Address
Ms. LISA MICHELLE BOOTH
9409 E 65TH ST
RAYTOWN, MO 64133-4920
Phone number: 816-812-4898
Mailing Address
Ms. LISA MICHELLE BOOTH
9409 E 65TH ST
RAYTOWN, MO 64133-4920
Phone number: 816-812-4898