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1508001090
LORI GRAY BOOTHROYD PLLC
TRAVERSE CITY, MI
NPI
1508001090
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Entity Type
Organization
Authorized Contact
LORI BOOTHROYD
Licensed Psychologist
231-929-4722
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: MI 6301012397)
Enumeration Date
2008-12-11
Last Update Date
2012-08-10
Business Address
LORI GRAY BOOTHROYD PLLC
12935 S WEST BAY SHORE DR SUITE 200
TRAVERSE CITY, MI 49684-6298
Phone number: 231-929-4722
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Mailing Address
LORI GRAY BOOTHROYD PLLC
13351 S PARTRIDGE RUN DR
TRAVERSE CITY, MI 49684-8485
Phone number: 231-929-4722
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