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1518016401
JUDITH BOOTH
MIDDLEBURG, FL
NPI
1518016401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH8465)
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
-- JUDITH BOOTH LMHC
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068-4357
Phone number: 904-291-5561
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Mailing Address
-- JUDITH BOOTH LMHC
1726 KINGSLEY AVE STE 2
ORANGE PARK, FL 32073-4411
Phone number: 904-278-5644
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