TARA ANGELA BOOTH

QUEENSBURY, NY
NPI1366919615
Former NameTARA ANGELA LADUE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2018-10-25
Last Update Date2020-07-13
Business Address
TARA ANGELA BOOTH
1032 W MOUNTAIN RD
QUEENSBURY, NY 12804-8209
Phone number: 518-222-7165
Mailing Address
TARA ANGELA BOOTH
1032 W MOUNTAIN RD
QUEENSBURY, NY 12804-8209
Phone number: 518-222-7165