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1295338564
SAMANTHA JO BOOTHE
IRONTON, OH
NPI
1295338564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-11-19
Last Update Date
2020-11-19
Business Address
SAMANTHA JO BOOTHE
1007 N 2ND ST
IRONTON, OH 45638-1235
Phone number: 207-602-8683
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Mailing Address
SAMANTHA JO BOOTHE
1007 N 2ND ST
IRONTON, OH 45638-1235
Phone number: 207-602-8683
Copy
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